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Effective January 1, 2023, this information is no longer up-to-date. The material on this page covers only the 1995 and 1997 E/M guidelines and is no longer accurate. A new set of E/M guidelines was released in 2021, with some minor modifcations added for 2023. These new guidelines are now used to document all encounters in both the outpatient and inpatient settings. For the most recent E/M coding guidance, visit our home page here.
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Risk is
determined by referring to the table of
risk which describes four levels of medical
jeopardy :
When
referring to the table, the level of risk is determined by examining
three separate dimensions of the encounter:
E/M University Coding
Tip: The E/M
guidelines explicitly state that the highest level of risk present
in any one of the above categories determines the overall risk of
the encounter. Physicians often underestimate the level of risk as defined by the E/M
guidelines. |
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