Evaluation and Management Services are the most common codes used in a physician's office. The three key components that drive the selection process are:
• History
• Examination
• Medical decision making
Review the Table 1 "Key elements that define E/M services as listed below:
|
History
|
Examination
|
Medical Decision Making
|
|
Problem-focused
|
Problem-focused
|
Straightforward
|
|
Expanded problem-focused
|
Expanded Problem-focused
|
Low complexity
|
|
Detailed
|
Detailed
|
Moderate complexity
|
|
Comprehensive
|
Comprehensive
|
High complexity
|
• Choose one of the unique combinations using the three essential factors (History, Examination, and Medical Decision Making) and review its definitions and components. Review the material in your text including the Tables 7.2, 7.3, 7.4, and 7.5 to fully describe the elements required and differentiate between the elements.
• Provide relevant examples of content when applicable.