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Table of Contents
Crosswalk for 1995 and 1997 EM Documentation Guidelines 305
The Building Blocks of Evaluation and Management Coding 7
4 other sections not shown
Acute appropriate areas or organ assessment Auscultation body areas bullet elements Chief complaint complexity of data complications or morbidity components comprehensive Counseling and/or Coordination CPT code cyanosis data reviewed diagnoses or management document at least Dx/management options E/M code E/M service elements identified emergency department exam must include expanded problem focused history areas history of present hospital HPI elements hypertension Indicators from tables indicators in Italic Ingenix level of E/M level of service Management Coding management options considered medical decision medical necessity medical record Medicare minimal Moderate risk morbidity or mortality mortality Problem Severity nine systems number of diagnoses organ sys organ systems Code organomegaly palpation Perform and Document PFSH physician Presenting Problem(s prolonged functional impairment risk of complications shaded boxes social history stable chronic illnesses system review System/Body Area systems Code Indicators systems or body tables of risk-including Third-Party Payer Wants total parenteral nutrition unshaded box