Documenting Histories in E&M
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Documenting Histories in E&M (8 min • 10-2016)
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How to document the history component of Evaluation and Management services, and how that documentation relates to coding.
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- Here are some related articles in Other Pediatric Practice Resources > Coding and Documentation:
How to Code for Immunizations and Administration
In January of 2011, immunization administration CPT codes changed. The administration w/ counseling codes that pediatricians used previously (90465-90468) became invalid for billing. Two new codes (90460 and 90461) replaced them, and the replacement includes a change in the coding method, from per-shot to per-antigen.- On October 1, 2015, insurance payers will stop accepting ICD-9 diagnosis codes for most claims and require ICD-10. How can your practice prepare for the ICD-10 transition?
Diagnostic Code Sets (SNOMED-CT, ICD-10, ICD-9) in PCC’s Software and Services
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PCC's Jan Blanchard explains the importance of accurate documentation of established patient vs. new patient Evaluation and Management services.- How to document the history component of Evaluation and Management services, and how that documentation relates to coding.
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- E&M services make up the bulk of the work you do as a pediatrician. PCC has educational content, tips and videos you can use to master E&M and improve your coding workflow.