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Thread: Anyone have an E/M Cheatsheet???

  1. #1
    Join Date
    Apr 2007
    Fort Worth

    Default Anyone have an E/M Cheatsheet???

    AAPC: Back to School
    I used to have this E/M cheatsheet or worksheet that you could go down it and check off the points of the exam and then figure up the level. Does anyone have anything like this??? I NEED IT IN A BAD WAY TO HELP STUDY FOR THE CPC EXAM.

    Thanks, I will be forever in your debt if you can get me one.
    Amy Cypert-Barton, NRMA, CCS, CPC

  2. #2
    Join Date
    Apr 2007
    Greater Orlando

    Default E/M Cheat Sheet

    Amy, you can get one from your local state Medicare office. The ones they have are plastic and eraseable and free for the asking. Give them a call and they will mail you one.
    Debi Crook, CPC, CCS
    Orlando Chapter

  3. #3


    Hope this helps you. Good luck
    ER Audit Sheet

    Patient Name: HISTORY Dr.

    HPI Location Severity Timing Quality
    Context Duration Associated Signs & Sx Modifying Factors

    99281-99283 (1-3 elements) 99284-99285 (4 or more elements)

    ROS Constitutional Eyes ENT and Mouth Cardiac
    Gastrointestinal Musculoskeletal Endocrine Neurological
    Integumentary Psychiatric Genitourinary Allergic/Immunologic
    Respiratory Hematologic/Lymphatic All others negative

    99281 (none) 99284 (2-9 elements)
    99282-99283 (1 element) 99285 (10 or more elements)

    PFSH Past Family Social

    99281-99283 (none) 99284 (1 element) 99285 (2 elements)

    Constitutional Eyes Ears, Nose, Mouth, Throat Cardiovascular Respiratory
    Gastrointestinal Genitourinary Musculoskeletal Skin Neurologic
    Psychiatric Hematologic/Lymphatic/Immunologic
    Body Areas:
    99281 Requires at least 1 organ system/body area Head & Face Neck
    99282-99283 Requires 2-4 organ systems/body areas Chest/Breast/Axillae Abdomen
    99284 Requires 5-7 organ systems/body areas Genitalia/Groin/Buttocks Back
    99285 Requires 8 or more organ systems Each Extremity: RUE LUE RLE LLE

    Medical Decision Making
    Number of Diagnoses/Management Options
    Self-limited or minor (Stable, improved or worsened) è Maximum 2 points in this category. 1 point
    Established problem (to examining MD); stable or improved 1 point
    Established problem (to examine MD); worsening 2 points
    New problem (to examining MD); no additional work-up planned è Maximum 1 point in this category. 3 points
    New problem (to examining MD); additional work-up (e.g. admit/transfer) 4 points

    Amount and/or Complexity of Data Reviewed
    Lab ordered and/or reviewed (regardless of # ordered) 1 point
    X-ray ordered and/or reviewed (regardless of # ordered) 1 point
    Medicine section (90701-99199) ordered and/or reviewed 1 point
    Discussion of test results with performing physician 1 point
    Decision to obtain old record and/or obtain hx from someone other than patient 1 point
    Review and summary of old records and/or obtaining hx from someone other than patient and/or discussion with other health provider
    2 points
    Independent visualization of image, tracing, or specimen (not simply review of report) 2 points

    Risk of complications and/or Morbidity or Mortality
    Presenting Problem Diagnostic Tests Management Options Risk
    1 self-limited/minor problem Lab w/venipuncture, CXR, EKG, U/A Rest, Gargle, Ace, superficial dressing Minimal
    2 or more self-limited/minor
    1 stable chronic illness, acute uncomplicated
    Lab w/arterial puncture
    Superficial needle biopsies
    OTC drugs, IV w/o additives Low
    1 chronic illness w/exacerbation, 2 or more stable chronic illnesses, new problem w/ uncertain progress, acute problem LP, thoracentesis, culdocentesis Rx, IV w/ additives
    Tx of Fx w/o manipulation

    Minor surgery w/identified risk factors
    1 or more chronic illnesses w/severe exacerbation, life threatening illness/injury, suicide/homicidal ideation, neurostatus change Endoscopy with identified risk factors Parenteral controlled drug therapy with monitoring
    Emergency Major surgery

    Final Results of Medical Decision Making
    The highest level attained in 2 out of 3 categories will determine your level of E/M code as it relates to medical decision making.

    Number of Dx or Tx Options 1 2 3 4
    Amount and/or Complexity of data to be reviewed 1 2 3 4
    Risk of Complications, Morbidity, Mortality Minimal Low Moderate High
    E/M Level=2 out of 3 99281 99282 99283/99284 99285

    History* _______ Exam* _______ MDM* _______ = Level of Service*>>> 99281 99282 99283 99284 99285

    (*lowest of each category)

    ☐ Downcoded from Level ______ to Level _______ due to:
    Last edited by princess; 10-11-2008 at 10:35 AM.

  4. #4

    Question Important info needed asap

    can anyone pls give me a response to how to my coding externship experience on my resume and what website will i be able to get aapc approved ceu..i need 19 ceus..i need this info asap. thanks

  5. #5
    Join Date
    Apr 2007
    Albany, NY

  6. #6
    Join Date
    Apr 2007
    North Carolina


    Don's link also has great auditing forms. They are listed in the "A" section of the site. There are several to choose from.


  7. #7
    Join Date
    Apr 2007
    Milwaukee WI

    Default Audit Tools help determine the LEVEL

    An audit tool will be a great help to determining the LEVEL of E/M. But it won't select which E/M service you should be billing (New vs established, inpatient vs outpatient, consult vs visit, etc).

    Also, I do not think you will be able to use the audit tool in your exam.
    (Unless you are taking the E/M Auditing specialty exam, where both 1995 and 1997 audit guidelines are needed.)

    Still an audit tool will be useful to helping you understand how E/M guidelines work. Just remember, that you'll have to internalize this information.

    F Tessa Bartels, CPC, CPC-E/M

  8. #8
    Join Date
    Apr 2007
    Fort Worth

    Smile Thank You

    Thanks for all of your help. This helps so much.
    Amy Cypert-Barton, NRMA, CCS, CPC

  9. #9


    Amy Burton
    I believe I do have the exact one you are talking about, I will have to look when I get home, if it is the one that I think it is where there are points next to every part and at the bottom once you add them up it gives you which level of service you should give...Correct? To remind me about this though please email me at sdouglass@harbornet.com or ShannonD@southlakeclinic.com and I will get it to you as soon as I find it..
    Good luck

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