Internal Medicine Coding Alert
Choose From 99393-99395 Based on Patient's Age
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Question: Our internist saw a patient for a sports physical clearance. During the visit, the patient stated she was experiencing pain in her eye. The physician completed a slit lamp exam and determined the patient had a corneal foreign body. He removed the FB and completed a detailed sports physical exam. How should we code this encounter? Tennessee Subscriber Answer: The correct sports physical exam code will depend on the patient's age; choose the appropriate code from 99393-99395 (Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient ...). Include diagnosis V70.3 (Other general medical examination for administrative purposes) to support the physical. For the foreign body removal, submit 65222 (Removal of foreign body, external eye; corneal, with slit lamp) with diagnosis 930.9 (Foreign body in unspecified site on external eye).
Internal Medicine Coding Alert
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