Evaluation and Management

For this Assignment, you will review evaluation and management (E/M) documentation for a patient and
perform a crosswalk of codes from DSM-5 to ICD-10.
Coding, billing, reimbursement.
Review the E/M patient case scenario provided.
Assign DSM-5 and ICD-10 codes to services based upon the patient case scenario.
In 2 pages address the following. You may add your narrative answers to these questions to the bottom of the
case scenario document and submit altogether as one document.
Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10
Explain what pertinent documentation is missing from the case scenario, and what other information would be
helpful to narrow your coding and billing options.
Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.

Sample Solution