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In this instance a high level E/M is not warranted as simply validating the BP is good and requesting the patient return in 2 weeks to a month is not high complexity medical decision making even if you include all the history and physical exam elements that may suggest a high level E/M service.
Please keep medical decision making in mind when choosing an appropriate E/M service you provide. Orders for clinical lab, imaging, and drugs must include a valid order and reason for the order with your NPI number.
Each claim must have a diagnosis code on the claim.
to the practice management section and click on ICD-10 links The following note was not a topic of discussion at the CAC meeting.
An example was given about a patient coming in every 2 weeks for blood pressure checks.