Question

List one category or sub-category in Evaluation and Management

Provide at least three examples of codes and descriptions from the category or sub-category selected

Describe when it would be appropriate to use these services

Discuss if there may be a difference in reimbursement based on the examples you shared. Do not duplicate another peer’s category or sub-category, there are plenty of options for everone

Answer 1

The category in Evaluation and Management is the E&M codes for office or other outpatient services. Examples include 99201, 99212, and 99214.

Step-by-step explanation:

A category in Evaluation and Management is the E&M codes for office or other outpatient services.

Example codes and descriptions include:

1. 99201 - Office or other outpatient visit for the evaluation and management of a new patient, which require these three key components: a problem focused history, a problem focused examination, and straightforward medical decision making.
2. 99212 - Office or other outpatient visit for the evaluation and management of an established patient, which require these three key components: an expanded problem focused history, an expanded problem focused examination, and straightforward medical decision making.
3. 99214 - Office or other outpatient visit for the evaluation and management of an established patient, which require these three key components: a detailed history, a detailed examination, and medical decision making of moderate complexity.

It would be appropriate to use these services when evaluating and managing new or established patients in an office or other outpatient setting. The level of service is determined by the complexity of the history, examination, and medical decision making.

Reimbursement may differ based on the examples shared. Generally, higher level codes may have higher reimbursement rates due to the increased complexity of the evaluation and management services provided.