To Code an Evaluation and Management (E/M) Service Properly for a New

question 25

Multiple Choice

To code an evaluation and management (E/M) service properly for a new patient, which of the following elements must be documented?

• A) history and examination
• B) history and medical decision making
• C) examination only
• D) history, examination, and medical decision making

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Definitions:

Mandatory

Refers to something that is obligatory or required by law or rules.

Performance Ratings

Performance ratings are assessments used to evaluate the work performance of employees, usually by supervisors or management.

Low-Income Women

Refers to women who fall below a certain threshold of income, often defined by national poverty lines, highlighting a demographic facing economic challenges.

Advantages

The positive aspects or benefits associated with a situation, decision, or action.