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E/M Coding:

Justify a Higher E/M Level Based on Notes Alone

Published on Fri Oct 09, 2026

Question: Our practice sees many student athletes with sprains and other sports-related injuries. Even though these conditions may appear straightforward, can they support a higher evaluation and management (E/M) level? Do you have any tips as to what should be documented to accurately reflect the higher complexity of a given encounter? Arizona Subscriber Answer: Yes, you can absolutely support a [...]
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