Evaluation and Management Coding Eamp;M Coding - University of 评估和管理编码E amp；M编码-大学.pptVIP

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2017-12-12 发布于贵州
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Evaluation and Management Coding Eamp;M Coding - University of 评估和管理编码E amp；M编码-大学.ppt

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EvaluationandManagementCodingE

Power of the Pen Iyad G. Houshan. M.D. Assistant Professor of Medicine Chief, Division of Hospital Medicine University of Nevada School of Medicine ICD-9 codes 40 y.o. male with PMHx of 250.4, 272.4, 496, here for 491.21 exacerbation and possible 410. How do you treat this patient? 40 y.o. male with PMHx of DM ( renal manifestations), dyslipidemia, COPD, here for COPD exacerbation and possible MI. Evaluation and Management Coding“EM Coding” Why I’m I here? Can I pay some one to do that for me? What is my incentive to learn this? INCENTIVE Definitions ICD-9 : International Classification of Diseases. ( 250.00, 272.4,…) CPT : Current Procedural Terminology CMS : Centers for Medicare and Medicaid Services Definitions, Cont’d EM codes, Like CPT codes are compromised of five digits. EM codes specifically begin with 99. EM subsequent numbers depend on the type of EM. Definitions, Cont’d A level 1 ( last digit a 1) is the least A level 2 ( last digit a 2) is greater The highest code level will end in a 3 ( an inpatient hospital admission), or a 5 (Outpatient or consultations). EM Coding Each individual code listed has three components that qualify physicians to work for the specific code: 1) History 2)Physical 3) medical decision making MDM EM coding, cont’d To add a degree of confusion to our coding dilemma, there are actually two sets of the Federal Documentation Guidelines for Evaluation and Management Services. EM coding, cont’d The original set , 1994, affected primarily the history component of the physician documentation The second set, 1997, uses the same history segment but adds physical exam documentation guidelines, featuring the now infamous “bullet” points. Best to use the 1997 guidelines. ( we use the 1994 guidelines) EM coding, cont’d In the CPT book, when looking up a specific EM code, the three listed qualifiers: History, Physical, and MDM are found Physicians don’t think code first. We think clinical matters, diagnoses, labs and tests,