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WSI recently published a new documentation policy, Evaluation and Management Services. This policy aligns with both the American Medical Association (AMA) 2021 and 2023 CPT® Evaluation and Management (E/M) Code and Guideline Changes.

The policy outlines WSI’s documentation requirements for the following E/M services:

  • Office and Outpatient Services (99202-99215)
  • Prolonged Services (99358, 99359, 99417, 99418)
  • Hospital Inpatient and Observations Care Services (99221-99223; 99231-99239)
  • Emergency Department Services (99281-99285)
  • Nursing Facility Services (99304-99310, 99315, 99316)
  • Home or Residence Services (99341, 99342, 99344, 99345, 99347-99350)

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