Coping with Coding has been developed to provide you with educational articles focusing on common coding questions and issues facing many Urologists. 

E&M Coding Tip
by Michael A. Ferragamo MD, FACS

In performing an Evaluation and Management (E/M) service the urologist may review and use (without re-performing or re-documenting [if already documented by ancillary personnel]) the Review of Systems, ROS, the Past Medical and Family history, PFSH, chief complaint, CC, and the Vital Signs. He may just review these, sign the note or make a comment as evidence of agreement and still receive credit for these elements in determining the level of service performed. This is certainly a time saver for the physician and insures complete documentation when needed.

Michael A. Ferragamo MD is a practicing urologist and is the editor of Urology Coding Alert, a monthly newsletter on urology coding published by The Coding Institute of Naples, Florida. He is a nationally known coding expert in urology and would be happy to help with any coding problems you may have. He may be reached at the following numbers... 516-741-0118, 516-746-5550, 516-721-8149, fax 516-294-4736, or E-Mail Liqgold2@aol.com.