Revenue Cycle Insider

E/M Coding:

Don’t Upcode This Low-Level Follow-Up

Question: I’m coding a follow-up encounter for a patient who experienced a neck injury during a soccer game. The provider reviewed the patient’s MRI scan results, ordered physical therapy, and prescribed a refill of an anti-inflammatory drug. Can I report 99214? Texas Subscriber Answer: The encounter you describe may not meet the criteria needed to be able to report evaluation and [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles of

May 2025

View All