ABSTRACT
As interventional radiology continues to evolve into a true clinical practice, more
time will be spent on the clinical decision process; this time is reimbursable in
the form of evaluation and management (E&M) services. Once assumed to be an inherent
part of the procedure itself, we know many procedures now do not include follow-up
E&M components. Unfortunately, E&M coding is somewhat complex and requires rigorous
documentation. Below is a discussion of the fundamentals of E&M services, general
principles of documentation, and the mechanics of coverage and reimbursement.
KEYWORDS
Coding - interventional procedures - evaluation and management - E&M
REFERENCES
- 1 Current Procedural Terminology. 4th ed. American Medical Association 2002
- 2 E&M Coding for Interventional Radiology. Medical Learning, Inc. 2004
- 3 International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM). Commission
on Professional and Hospital Activities 1987
H. Bob SmouseM.D.
OSF Saint Francis Medical Center
530 NE Glen Oak Avenue, North Building, Room 4684, Peoria, IL 61637