Title: Module 3 Introduction: (CU3 M3) Evaluation and Management
Course: SkillsCom CRS 210 14.0 > Section: Credit Unit 3 Module 3

Having learned about coding for body systems and a few different fields of medicine, you will continue to learn of yet another important sector of coding: Evaluation and Management (E/M) services! Gaining mastery of coding E/M services will be hugely beneficial for you since every physician-patient encounter involves E/M services that are to be coded.

The American Academy of Professional Coders (2014) stated that:

Evaluation and management (E/M) services are placed prominently at the forefront of the CPT® codebook, signaling the importance of these codes. For many providers, E/M services represent the bulk of codes reported. For each E/M service, code selection is based on location, physician work, and the extent of medical decision making demonstrated during the visit. E/M codes are reported by physicians and physician extenders of all medical specialties (p. 605).

American Academy of Professional Coders. (2014). Medical Coding Training: CPC ® (13th ed.). Salt Lake City, UT: Author.

This Evaluation and Management Worksheet is a valuable tool to use as you determine the E & M Coding. Download it and have it available. Evaluation and Management Worksheet (PDF)

Course Outcomes:

- Demonstrate mastery of E & M coding.

Module Outcomes:

- Define E/M

- Differentiate between a new patient and an established patient.
- Identify service location(s) and type(s).
- Understand the requirements for the different levels of service.
- Learn how properly to “level” an E/M service.

- Abstract a provider’s note to arrive at the levels of service.