E/M Basics
Determines E/M level (with time)
What is MDM
Prefix meaning “under”
What is sub-?
Separate E/M service modifier
What is -25?
Established low-level visit
What is 99213?
Golden rule
What is document what you do, code what you document?
Required element for every encounter
What is a Chief Complaint?
Suffix meaning “repair”
What is -plasty?
Distinct service modifier
What is -59?
New patient moderate visit
What is 99204?
Billing higher than supported
What is upcoding?
Number of MDM elements needed to determine a level of service
What is 2 of 3?
Term meaning “fast heart rate”
What is tachycardia?
Telehealth modifier
What is -95?
Critical Care Services base code
What is 99291?
Billing lower than supported
What is undercoding?
Example of straightforward MDM
What is a self-limited problem?
Root word for “lung”
What is pulmo/pulmon?
Professional component modifier
What is -26?
Psychotherapy 45 min
What is 90834?
Payment based on this
What is medical necessity?
Time includes this provider activity
What is face-to-face and non-face-to-face work?
Removal of appendix
What is appendectomy?
Reduced services modifier
What is -52?
Discharge <30 min
What is 99238?
Documentation timing expectation
What is as soon as possible after service?