URMC / Compliance Office / Education and Tools / Compliance Office Documents and Tools Compliance Office Documents and Tools Evaluation and Management (E&M) Coding E&M Documentation Cards E&M Documentation Tips E&M Elements Modifiers -22, increased procedural service -25, significant, separately identified E&M service -51, multiple procedures -57, decision for surgery -59, distinct procedural service Time Based Codes - Counseling and Coordination of Care Table of Risk Compliance Tips Compliance Office Billing Audit Form Government Investigations and Searches Laboratory Ordering and Coding Guidelines Medical Necessity Documentation Your Role in Compliance Medicare and Medicaid Ambulatory Patient Groups (APGs) - New York State Medicaid Medicare Annual Wellness Visits Specialties Psychiatry Psychiatric CPT Codes Psychiatric Services Documentation Requirements Surgery Global Postoperative Visits - 99024 Global Surgical Package Modifiers -22, increased procedural service -25, significant, separately identified E&M Services -51, multiple procedures -54 surgical care only -55 post-operative management only -57, decision for surgery -59, distinct procedural service -62, co-surgery -79, unrelated procedure/service by the same physician during the post-operative period Teaching Physician Teaching Physician Guidelines for E&M Services Teaching Physician Guidelines for Surgical Procedures Teaching Physician Documentation for Procedures - Grid