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Thread: E/M with no physical exam

  1. #1
    Join Date
    Apr 2007

    Angry E/M with no physical exam

    AAPC: Back to School
    I'm coding for an Interventional Radiologist who meets with a potential new patient for a procedure. He does a comprehensive history and medical decision of high complexity. He does not touch the patient for any type of "exam" nor does he document the time. Is this codable?

    Thank you!!

    Rhonda Markowitz

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    A new patient requires all three of the key components for an E&M level so no physical exam means no codeable level.

    Debra A. Mitchell, MSPH, CPC-H

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