E/M Services: Stable or Unstable Chronic Conditions?

CodeCast | Medical Billing and Coding Insights

Terry discusses how to be accurate in your documentation when picking the low, moderate or high element(s) of MDM.

When listing “problems addressed” in your E/M record, and considering chronic conditions, the definition of a stable, chronic illness, per AMA/CPT states, “stable” to categorize MDM as defined by the specific treatment goals for an individual patient.

A patient who is not at his or her treatment goal is not stable, even if the condition has not changed and there is no short-term threat to life or function. By this definition, a patient might be living with a chronic condition that is controlled.

However, if they are falling short of their treatment goals, they would not be considered “stable.”

This shows that the spirit of the new AMA/CPT E/M Documentation rules are about patient-centered care and that every patient has a unique set of goals and circumstances: achieving these personalized objectives truly determines “stability.”

Subscribe and Listen

You can subscribe to our podcasts via:

• Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627
• Google Podcasts – https://play.google.com/music/listen#/ps/Ia47t6quqphhsanlzpajk37yiga
• Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX
• Stitcher – http://www.stitcher.com/s?fid=156874
• TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/
• YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg
• Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights
• iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The post E/M Services: Stable or Unstable Chronic Conditions? appeared first on Terry Fletcher Consulting, Inc..