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Created byThe Lung Doctor for e-Medtools
Documentation of Level of ServiceDocumentation of Level of Serviceof Medicalof MedicalEncountersEncounters
Created byThe Lung Doctor for e-Medtools
Inpatient EncountersInpatient Encounters
Initial Hospital Encounter Or Observation
Requires 3 components within shaded area
Subsequent InpatientOr Follow up
Requires 2 components
History
D or CD or CSF/LI
9922199218
CCPFEPFDCMEPFII
9922299219
DCHHIII
9922399220
III
9923399263
MII
9923299262
PFSF/L
ExaminationComplexity of medical decisionLEVEL
Init Hosp CareObservation
I
9923199261
C =
Complete
D =
Detailed
EPF =
Extended problem focused
H =
High
M =
Moderate
PF =
Problem focused
SF/L =
Straight forward/Low
C =
Complete
D =
Detailed
EPF =
Extended problem focused
H =
High
M =
Moderate
PF =
Problem focused
SF/L =
Straight forward/Low
Adapted from CMS Medicare Part B HGSAdministrators Documentation Worksheet
Adapted from CMS Medicare Part B HGSAdministrators Documentation Worksheet
Created byThe Lung Doctor for e-Medtools
Outpatient,Outpatient,ConsultsConsults
(Outpatient, Inpatient)(Outpatient, Inpatient)
and ERand ER
New Office / Consult / ER
Requires 3 components within shaded area
Established Office
Requires 2 components
PF
ER: PF
PFEPFDCPF
Minimalproblemthat maynotrequirepresenceof physician
I
99211
SFDII
-212
CEPFLIII
-213
HV
-215
MIV
-214
PF
ER: PF
SF
ER: SF
I
99-20199-24199-25199-281
History
EPF
ER: EPF
D
ER: EPF
C
ER: D
C
ER: C
EPF
ER: EPF
SF
ER: L
C
ER: D
II
-202-242-252--282
C
ER: C
D
ER: EPF
L
ER: M
H
ER: H
III
-203-243-253-283
V
-205-245-255-285
M
ER: M
IV
-204-244-254-284
ExaminationComplexityof medicaldecisionLEVEL
New PtOutptConsultInptConsultER
Adapted from CMS Medicare Part B HGSAdministrators Documentation Worksheet
Adapted from CMS Medicare Part B HGSAdministrators Documentation Worksheet
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