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

Question

Quizplus · Accepted Answer

To code an E/M service properly for a new patient, all three key components (history, examination, and medical decision making) must be documented.

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