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Here is an example to help clarify the issue: If a patient presents with signs or symptoms of pregnancy or has had a positive home pregnancy test and is there to confirm pregnancy, this visit may be reported with the appropriate level E/M services code.
A negative hCG result means that it is unlikely that a woman is pregnant. However, tests performed too early in a pregnancy, before there is a significant hCG level, may give false-negative results. The test may be repeated a few days later if there is a strong possibility of pregnancy. A positive hCG means that a woman is likely pregnant. The blood level of hcG in a woman with an ectopic pregnancy usually rises at a slower rate than normal. Typically, hCG levels double about every two days for the first four weeks of a normal pregnancy, then slow to every 31/2 days by six weeks.