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These services may seem alike, but differences in requirements can make or break your code assignment. Physical therapy (PT) and occupational therapy (OT) evaluations are similar, but like the two disciplines themselves, there are some distinct differences. Both include four components that must be performed and documented to meet the requirements for a particular level […]
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Guidelines and auditing tools help with the decision-making process involved in coding E/M services. Selecting evaluation and management (E/M) service levels in the emergency department (ED) can be a challenge, and the medical decision making (MDM) component is particularly difficult to score. E/M service guidelines are defined separately in the CPT® code book, by the […]
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