The bread and butter of any primary care practice are Evaluation and Management (E&M) services, coded with CPT codes that start with 99. These codes are consistently a component of the Centers for Medicare and Medicaid Services Office of the Inspector General (OIG) annual compliance plan. Both undercoding and overcoding are frowned on and with the guidelines for coding E&M codes comprising hundreds of pages, it can be difficult to be sure that the level assigned to a visit is correct.
The E&M Wizard allows you to enter information about a clinical encounter: the components of history, the parts of the physical, and the intensity of the medical decision making to determine the final E&M code. Based on the 1997 guidelines, this tool can help you feel confident you are not over- or under-coding any patient visit in any practice setting.