Physician Practice

Doctor’s note lacks info to support E/M charge

Physician Practice Perspective, August 21, 2002

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A coder at a family medicine practice in May received a questionable doctor’s note for an x-ray of the right knee. At issue was whether there was enough documentation in the note to support a separate evaluation and management (E/M) charge. The complete note appears below. Here is the coder’s assessment: “It is my opinion that there is not enough documentation to charge a separate E/M using the -25 modifier,” says Tammy Farris of Family Medical Specialties, a small physician practice in the Northeast. “The entire exam centers around the patient’s kne

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Physician Practice Perspective.

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