AAPC - Back to school
Results 1 to 3 of 3

Thread: E/M Codes

  1. #1
    Join Date
    Apr 2007
    Portsmouth, VA

    Default E/M Codes

    AAPC: Back to School
    How do you know when you need to have an E/M code, I will be taking my exam on November 7th and I have purchased the practice exams and wanted to know how do you determine when you need more than one code?

  2. #2

    Default RE: E/M Codes

    The first thing that I would do is to read the note and identify the location, type of patient, type of service, what was done. Take your pen or pencil and underline the key points in the note.
    The patient type would be like new or established, and age.
    Location of service would be like office/Outpatient clinic, ED, hospital, etc
    What services and supplies were ordered and performed.
    All of these and more will be in your CPT 2009 manual.
    Think of it this way, whatever the MD does with the patient, you want to code properly for the services they have done, you would never just use one code otherwise you may have discounted the services the MD has done, thus receiving a low reimbursement...ouch!!
    Study the concepts in each section of the CPT book, start with the E&M section it will give you more info about what I have mentioned above.

  3. #3
    Join Date
    Apr 2007


    It has been awhile since I took the CPC and I am an E/M auditor so it is hard to answer this from an unbiased view so I will just give you the simple answer that applies to all parts of the test, not just E/M. Read the question and answers before you read the supporting documentation they provide. That way you know what you are looking for and you don't waste time trying to figure something out that isn't part of the question. Work smarter, not harder.

    While it is important to understand when you can or can't bill for an E/M and being able to level is very important, the CPC exam doesn't go into major detail when it comes to E/M. Be familiar with your E/M codes, maybe write some notes beside those ones that are 3 of 3 and those that are 2 of 3 and highlight the key differences between them so they will stand out to you.

    Remember, everything you need to know to pass that test is in those 3 books, you just have to know where to look.

    Good luck,

    Laura, CPC, CEMC

Similar Threads

  1. Replies: 4
    Last Post: 01-30-2015, 11:36 AM
  2. Reimbursement for consult codes vs medicare new office/hospital eval codes
    By cardiocoder in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-20-2014, 08:09 PM
  3. REV codes which now require HCPC/CPT codes
    By Temeka in forum Medicare Regulations
    Replies: 1
    Last Post: 02-15-2011, 08:39 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.