ICANotes self codes using either E/M codes (e.g. 99232)
or Psychotherapy Codes (e.g. 90807)

ICANotes codes uses Evaluation / Management code numbers according to HCFA's Guidelines (from Documentation Guidelines for Evaluation and Management Services, November 1997).

HCFA guidelines are so complicated that a computer is a practical necessity. As buttons are pushed ICANotes records, and you can observe, which history and exam elements are being credited. The level of Medical Decision Making is also scored on the basis of buttons pushed. Finally, ICANotes automatically takes into consideration the site of service (Office, Hospital, Nursing Home etc) and calculates the highest possible code.

The page below is always available (just push the "show me coding" button) and may be consulted to see what elements have been credited by the program, what levels of History, Exam, and MDM have been achieved, and what code is permissible for the site where you are working.

In the example below, ICANotes, on the basis of buttons pushed, credited the Doctor with 4 History elements and a problem focused review of symptoms. This supports an Expanded Problem Focused History. This, in combination with a Detailed Exam and low complexity MDM, supports a code of 99213 when the service is performed in an office or other out patient facility.

"Show me coding" Page