The Evaluation and Management (E/M) Services section of the American Medical Association's (AMA) Current Procedural Terminology (CPT®) code set is divided into broad categories of services, such as office visits, emergency department services, hospital inpatient services, and observation care, among others. This course introduces categories of evaluation and management services in the E/M section. It explains important terms and definitions and pertinent category guidelines and instructional notes.
A large portion of the information in this course is sourced from the Current Procedural Terminology (CPT®) Professional Edition. All CPT® codes, descriptions, and other data are copyrighted by the American Medical Association. All rights reserved.
The Evaluation and Management (E/M) Services section of the American Medical Association's (AMA) Current Procedural Terminology (CPT®) code set is divided into broad categories of services, such as office visits, emergency department services, hospital inpatient services, and observation care, among others. This course introduces categories of evaluation and management services in the E/M section. It explains important terms and definitions and pertinent category guidelines and instructional notes. A large portion of the information in this course is sourced from the Current Procedural Terminology (CPT®) Professional Edition. All CPT® codes, descriptions, and other data are copyrighted by the American Medical Association. All rights reserved.
New search functionality is now available for your account.
Feature Flag Details: Default value: false Flag: courseListSearch | User: 400069059
This activity is approved for 1.00 contact hours.
“This program has been approved for 1.0000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview
E/M Services Categories
Place of Service
Nature or Type of Service
Levels of Service
Evaluation and Management Services Guidelines
General vs. Category Specific Guidelines
Introductory Guidelines
Separate Services and Modifier 25
Review
Summary
Section 3: Office and Outpatient Services
Office or Other Outpatient E/M Services
Overview
New vs. Established Patients
Consultations
Definition and Appropriate Use
Interprofessional Consultations
Preventive Medicine Services
Types of Preventive E/M Codes
When to Report a Problem-Oriented Visit
Emergency Department Services
ED Definition and Key Features
Levels of MDM in ED Services
Critical Care Services
Definition
Bundled Services
Time-Based Critical Care
Pediatric and Neonatal Critical Care
Additional Bundled Services
Review
Summary
Section 4: Hospital and Facility Services
Inpatient, Observation, and Other Facility Services
Initial Service
Subsequent Service
Principal Physician
Observation Services
Newborn Services
Hospital Inpatient and Observation Services
Hospital Inpatient or Observation Care Services (initial 99221-99223, subsequent 99231-99233)
Hospital Inpatient or Observation Care Services Including Admission and Discharge (99234-99236)
Inpatient or Observation Consultations (99252-99255)
Important Note
Nursing Facility Services
Initial, Subsequent, and Discharge Care
Multiple Morbidities Requiring Intensive Management
Home or Residence Services
Care Settings Defined
Coding by MDM or Time
Care Management Services
Care Management Services
Psychiatric Collaborative Care
Transitional Care
Behavioral Health Integration
Review
Summary
Section 5: Other E/M Services
Prolonged Services
Prolonged Services Time Range Reporting
Clinical Staff Supervision Codes
Non-Face-to-Face Services
Types
Telemedicine Services
Online Digital E/M Services
Modifiers and Appendices
Review
Summary
Section 6: Conclusion
Course Summary
Course Information
Course Contributors
Resources
References
Reviewer: Ronntriesse Cope-Prevatt, CPC, CRCSarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified professional coder (CPC), a certified outpatient hospital coder (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah extensive experience in both professional and facility ICD-10-CM/PCS, CPT, and HCPCS coding, education, auditing, and revenue cycle management. She has clinical experience as an Emergency Medical Technician (EMT) and Medical Assistant (MA) and has served as Director of Physician Billing and Reimbursement for a regional health system, Manager of Coding and Compliance for a hospital and cancer center, and Business Manager of Physician Practices at a teaching hospital, as well as a coding auditor and consultant. Sarah has also authored several coding textbooks, and other instructional resources.
Ronntriesse Cope-Prevatt, CPC, CRC
Ronnie is a certified coder with over ten years of experience in profee coding, billing, and auditing. She also has a strong background in HCCs, patient administration, working claims edits, and denials management. Ronnie's coding expertise is in the areas of Orthopedics, Neurology, Pain Management, Interventional Cardiology, Gynecology, Urology, General Surgery, Gastroenterology, and Primary Care.
Access to over 1,450 courses! Access to 1,450+ courses for one low price.