E/M Exam Component Change Rescinded

E/M Exam Component Change Rescinded

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA

A previously announced change to the Exam Component requirements was recently rescinded by National Government Services – Medicare (NGS), the Medicare Administrative Contractor for multiple states.

Earlier in the year, NGS had announced that the Exam Component for the 1995 E/M Guidelines would be calculated using 2-5 body areas or organ systems for the Expanded Problem Focused (EPF) level and 6-7 body areas or organ systems for the Detailed level, replacing the prior 2-7 body areas or organ systems for both EPF and Detailed levels. They recently published that this change will no longer be mandatory, as planned. It will now be optional and only applied whenever it is most beneficial to the provider.

Therefore, the Evaluation & Management Documentation Training Tool used by NGS will remain unchanged. See the NGS Medicare website here for more information (requires login).

About the Author

Lynn Kuehn is president of Kuehn Consulting, LLC, and a nationally recognized authority on ICD-10-PCS coding. Lynn was elected to the AHIMA Board of Directors, served as faculty for the original ICD-10 “Train-the-Trainers” program, and authored or co-authored several of AHIMA’s most popular books including ICD-10-PCS: An Applied Approach, recognized as the “go-to” resource for learning and mastering ICD-10-PCS. As a Subject Matter Expert with Libman Education, Lynn’s unique and engaging teaching methods as well as her leadership on the importance of accuracy and efficiency in coding is recognized by clients and students throughout the country.

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