With the new CPT changes that have taken effect, we as providers as well as coders have to completely change the way we think about how our charts will bill. Below are some common scenarios that will likely play out in the ER and these will help the coders know how you view your chart as far as level of MDM. When a coder looks at a chart and there is any ambiguity as to what level it should be coded to, having a suggestion at the bottom from the treating provider is very useful.