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Pulmonology Coding Alert

Readers Question:

Get Paid for Visit by Reporting Symptoms in Absence of Confirmed Dx

Published on Tue Apr 05, 2016

Question: A new patient reported to our physician office complaining of wheezing and shortness of breath (SOB). The physician performed a level-three E/M, and then ordered a spirometry with graphic record (we own the equipment, and the test was performed and interpreted in-house). Encounter notes describe “likely” emphysema, though the spirometry did not confirm it. How should I handle the diagnosis [...]
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