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Nursing Management Codes

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In society today patient encounters take place in a variety of different settings. Evaluation and Management codes (E/M) describe a patient encounter with a physician and are the most frequently used codes that adhere to unique criteria. The criteria are to identify the settings, patient type and level of service. In the CPT Manual E/M codes are located in the front of the book and are broken down by divisions which are known as categories and subcategories. The categories are the first level of division because they identify the location of where the service took place such as a hospital visit, office visit and consultation. The subcategories identify the type of service rendered depending on the patient type if they are new or established, age and frequency. Also the subcategories are classified into levels of services that are identified by specific codes. It is by utilizing this classification that one is able to determine the nature of the work by the service type as well as place and patient status.

The different levels of care for E/M services are used for reporting purposes, are found within each category and subcategory and are not interchangeable. The descriptors that define the levels of E/M services are history, examination, medical decision making, counseling, …show more content…

These procedures are not reported alone but as add-on codes used to identify extraordinary conditions of patients and their unusual risk factors. There are four kinds of certain codes used for particular circumstances which are: 1) Anesthesia for the age younger than one year and over the age of seventy (99100), 2) Anesthesia complicated by the utilization of total body hypothermia (99116), 3) Anesthesia complicated by the utilization of controlled hypotension (99135) and 4)Anesthesia complicated by emergency circumstances

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