As far as E/M levels go... What is the standard that should be given? I typically give a 99285 for nursing, the patient is having 15 minute checks, for example has a multitude of issues from alcohol intoxication, drug abuse, paranoid schizophrenia, is violent etc... I guess it would depend on policy, but i know that the nurses are earning their 5 . On the professional end..i give the doc a 4 if he is just doing a med clearance and patient is going to crisis unless the patient has more med issues besides the alcohol or psych illness i would give him a 5 depending on documentation. I have heard the thinking is if the doc discharges patient and he kills someone we are liable so there is a higher risk involved with caring for these types of patients.. For those who code these types of records i was wondering on what is typically given in these cases? Guarded against overcharging on these records..