How is Medical Necessity Factored Along with Nature of the Presenting Problem?
Do you wish CMS would streamline the Evaluation and Management (“E/M”) guidelines so that everything is black and white? If so, you are not alone……
The E/M guidelines are just that, GUIDELINES! They serve as a resource when determining the level of care provided for visit. However, they are not the only source to consider in leveling an E/M Current Procedural Terminology’ (“CPT”) code.
