Pulmonology Coding Alert

Virtually everything your physician does can contribute to the documentation. While most pulmonologists typically report 99232 (Subsequent hospital care, per day for the evaluation of a patient, which requires at least 2 of these 3 key components: an expanded problem focused interval history; an expanded problem focused examination; medical decision making of moderate complexity) or 99233 (Subsequent hospital care, per day for the evaluation and  management which requires at least 2 of these 3 key components: a detailed interval history, a detailed examination, medical decision making of high complexity), if you are reporting 99231 (Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: a problem focused interval history; a problem focused examination; medical decision making that is straightforward or of low complexity) for all or many of your subsequent hospital care services, you may be costing [...]