Coding and Reimbursement Basics for the Interventionalist-Evaluation and Management: When 95 and 97 Guidelines Still Apply

Evaluation and Management: When 95 and 97 Guidelines Still Apply

Video Transcription

Video Summary

This video provides a refresher on the Evaluation and Management (E&M) services outside of codes 99201 through 99215. The 1995 and 1997 E&M guidelines still require three key components: history, examination, and medical decision-making. The level of complexity for E&M services is categorized as straightforward, expanded, detailed, and comprehensive. Each component must meet the level of complexity in order to bill that level of service. The video specifically discusses the components of history (including history of present illness, review of systems, past medical history, social history, and family history), examination, and medical decision-making (nature of presenting problem, data to be reviewed, and risk). The video reminds viewers that the 95-97 guidelines still apply to E&M services other than office visits until January 1, 2023.

Keywords

Evaluation and Management services

E&M codes

1995 E&M guidelines

1997 E&M guidelines

level of complexity