Orthopedic Coding Alert

E/M:

Watch Out: Adult E/M Criteria May Not Apply to Pediatric Patients

You may be able to substitute notes to justify a higher-level E/M. As summer time rolls around and kids play outdoors, your orthopedic practice may see more pediatric patients, but be careful. Orthopedic surgery practices that use the same E/M standards for pediatric and adult patients may be selling themselves short. If you rethink your history, exam and medical decision-making [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Orthopedic Coding Alert

View All