Pediatric Coding Alert

Reader Question:

Fill in the 'x' When Deciphering E/M Codes

Question: In a recent issue of Pediatric Coding Alert, you advised coders to report "an outpatient established patient E/M code (9921x)" for a particular visit. Can you please tell me where I might find this code so I can report it?North Carolina SubscriberAnswer: The letter "x" is a placeholder -- when selecting the most accurate code for your outpatient established patient E/M visit, you will replace the "x" with a number from the 1 through 5 range, meaning that your final code will be 99211, 99212, 99213, 99214, or 99215.In cases where subscribers don't send Pediatric Coding Alert their complete medical record dictation, our editors can't accurately determine which code from the 99211- 99215 range best suits their circumstances, so we simply use an "x" to fill in the final number in the code. Once you read your practitioner's documentation, however, you should be able to select the appropriate office visit [...]
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 your eNewsletter
  • 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
*CEUs available with select eNewsletters.

Other Articles in this issue of

Pediatric Coding Alert

View All