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H&P performed with level 3 visit, raise level 4?

  1. #1
    Question H&P performed with level 3 visit, raise level 4?
    Medical Coding Books
    Good morning:
    If our Orthopedic surgeon is doing a level 3 EM, and a decision for surgery is made and his PA performs the H&P at the same visit, can the MD raise his EM level to a level 4?
    Thanks in advance for any input.

  2. #2
    I forgot to mention these are both in our EMR system. The orthopedic surgeon wants to know if he has to mention the H&P is being done in his EM note by his PA? Thanks again.

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