In the typical Evaluation and Management (E/M) service, providers document the patient’s history, quantify that history with an examination, and from those cornerstones, derive the assessment, diagnosis, and treatment plan. Although most Electronic Health Record (EHR) software is programmed to list the diagnosis in written form and the ICD-10 code, the written diagnosis determines the appropriate ICD-10 code or codes that are assigned.
This Continuing Education webinar is reserved for KMC University Library Members. Click here to learn more about KMCU membership plans!