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Thread: can coder select E/M code for doc?

  1. #1

    Default can coder select E/M code for doc?

    AAPC: Back to School
    Does anyone know if there are any rules or guidelines that say the physician has to be the one to select the E/M code. I am wondering if it is legal for a certified coder who works in a physicians office to select the E/M code for the doctor based on the doctors documentation instead of the physician selecting the code (of course the coder would only do it with the doctors permission).


  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    Of course it is legal for the coder to assign the visit level as long as it is based on a review of the documentation and application of the 95 or 97 guidelines.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    Alot of doc's rely on their coders to select the E/M's. As part of our jobs we are required to know the coding guidelines and in alot of instances the coders are much more knowledgable about those guidelines than the doc's. I work in Revenue Integrity and I can not tell you how much education is done with docs just on E/M's and how many of the doc's fail their audits strictly because of the E/M's.

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