Reader Question:
Designate Separate E/M with 25
Published on Fri Feb 26, 2010
Question: During a meeting with a patient complaining of heartburn, my gastroenterologist performed an expanded, problem-focused history and examination with straightforward decision making. The doctor ordered several lab tests and discussed diagnostic and treatment options with the patient. The gastroenterologist also ordered a pH study and manometry to determine if the patient is a good candidate for further surgical treatment. Which codes should I report? California SubscriberAnswer: In this case, you should report 99202 (Office or other outpatient visit for the evaluation and management of a new patient ...) for the E/M visit. Then, once the tests are completed, report 91034 (Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation) for the pH study and 91010 (Esophageal motility [manometric study of the esophagus and/or gastroesophageal junction] study) for the manometry.If the tests happen to be performed on the same day as the office visit, then [...]