Which section of CPT requires the most effort for clinical documentation by the physician?

Expert Solution

The Evaluation and Management section of the CPT is the most difficult one where the physician can make mistakes.As theMedicare states that coding of this particular one is difficult fir the physician

The common errors are because of

Unbundling codes
Not editing as per the NCCI guidelines when coding multiple codes
Upcoming forms another great error by physician
Fail to code properly in the pre op examination by a physician

Nightingale answered 2 years ago

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