David Levy MD - E/M Visit Notes

E/M Visit Notes

Follow the steps below to complete your virtual visit with your patient.
Your Name (First, Last, Credentials) *
Provider Email *
example@example.com
Date of Service *

Month Day Year
Date
Patient Name *

First Name Middle Name Last Name
Patient Email *
example@example.com
Patient DOB *

Month Day Year
Date
Height *
Weight *
History of Present Illness (HPI) *
Location, Severity, Duration, Context, Modifying Factors and Associated Signs & Symptoms.

Review of Symptoms

Exam

Exam Notes *
Diagnosis (Impression):

This will open up a new tab in your web browser. Click here to search ICD-10 Code by code or description. PLEASE copy the numerical code exactly the way it appears to prevent any delays in billing (i.e. Acute Bronchitis = J20.9)
Diagnosis 1. *
Diagnosis 2.
Diagnosis 3.
Diagnosis 4.
Additional Diagnosis
Impression
Plan: *
Collected Payment Amount
Next Steps: Coding Your Visit

Please read over all three steps before proceeding

1. Click here to open your E/M Calculator by Codify. (This will open up a new tab in your web browser).

2. Come back to this tab, click next in the lower right corner and choose "New patient" or "Existing Patient" on the next window.

2. Select ONLY ONE of the CPT codes displayed to you in the following steps.
This patient is a *

New patient Existing patient
CPT Codes for NEW Patients (CHOOSE ONE)

99202 99203 99204 99205
CPT Codes for EXISTING Patients (CHOOSE ONE)

99212 99213 99214 99215
Signature *

Clear
Should be Empty: