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AAP Pediatric Coding Newsletter
July 2009



In this Issue

Coding the Correct Level of Evaluation and Management Service: Key components of E/M service performance and documentation
Step 1: Selecting the Level of Medical Decision-Making: Must It Be So Complex?: How to select MDM level
Step 2: Determine the Level of History Obtained and Documented: Elements for the History level
Step 3: Determine the Level of Physical Examination Performed and Documented: Physical examination level requirements
Q&A: Vanderbilt testing for ADHD
Step 4: Determine the Level of Evaluation and Management Service: E/M service level; 99211 - 99215
Point to Ponder: Preventive medicine visits for patients with chronic conditions
You Code It!: Level of examination for a 3-year-old patient with diarrhea



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