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Wiki E&M Audit Sheets

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kea718

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We are using Medicare's E/M Ducomentation Auditor Sheets. When choosing the correct established office code it states that it requires 2 components within the same column. How do you code if you do not 2 components in the same colomn?
 

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E/M for established patietn

2:3 is in reference to the need to meet or exceed 2 out of 3 of the key components: History, Exam and MDM. For a new patient 3:3 must be met or exceeded.
:)
 
If the components are not in the same column then they default to the lower one since it must meet or exceed the component to be counted.

For example: established pt--- Exam is EPF and MDM is M, I would go with 99213 since the Exam does not meet the level for 99214 even though the MDM does.

Hope this helps.
 
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