CPT® E/M Codes: Key Components

This presentation discusses the key components (history, physical exam, and medical decision making), used in CPT’s evaluation and management (E/M) medical codes. The video starts with a definition of E/M codes and then discusses each key component, how to determine the level of each (problem-focused, expanded problem-focused, detailed or comprehensive for history and exam; straightforward, low complexity, moderate complexity, or high complexity for medical decision making [MDM]). These levels are used to select the correct E/M code in most cases, but sometimes time can be used to select a code. The history component includes chief complaint, history of present illness, review of systems, and past/family and social history. The examination includes counting number of body areas or organ systems examined. Medical decision making includes number/complexity of problems addressed; amount and/or complexity of data reviewed and analyzed; and risk of complications/morbidity/mortality of patient management. Each of these components are discussed. I would love to hear from you! See links below. e-mail: [email protected] Facebook: Tropin's Medical Coding Made Easy | Facebook Link to books on Amazon: https://www.amazon.com/s?k=tropin&i=stripbooks&ref=nb_sb_noss_1 ----------------------------------- Contents of this video: 0:00 - Introduction 5:08 - History key component 18:36 - Exam key component 24:21 - MDM key component 31:27 - Selecting the code 41:47 - Typical Time 46:07 - Notes to make in your Book