bhamfred
Contributor
Hi there, I am studying for my CPMA exam on 9/14 and I'm having a mental block. There are a couple scenarios in the online study guide that have caused me to have some confusion.
One PT comes in for a Synvisc injection for chronic knee pain. This would be her third injection. She reports minimal improvement between the #1 and #2 injections. I understand that this is a visit for the injection only and no E/M is assigned. Another scenario involves chemotherapy and this one got a level 3 as well as all the chemo related codes. I don't understand what the difference between the two is.
Is there a rule of thumb I can go by to determine whether to assign a level or just the procedure?
For the last 3 years I've only been coding/auditing ED charts - every chart gets an E/M level.
Thank you for your time,
Michelle Brown, CPC
One PT comes in for a Synvisc injection for chronic knee pain. This would be her third injection. She reports minimal improvement between the #1 and #2 injections. I understand that this is a visit for the injection only and no E/M is assigned. Another scenario involves chemotherapy and this one got a level 3 as well as all the chemo related codes. I don't understand what the difference between the two is.
Is there a rule of thumb I can go by to determine whether to assign a level or just the procedure?
For the last 3 years I've only been coding/auditing ED charts - every chart gets an E/M level.
Thank you for your time,
Michelle Brown, CPC