CPT^® 99203, Under New Patient

The Current Procedural Terminology (CPT^®) code 99203 as maintained by American Medical Association, is a medical procedural code under the range - New Patient.

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Summary

The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider spends 30 or more minutes of total time on the encounter on a single date.

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Addiction Recovery Billing #addictioncoding 99213 99214

Hello! I work at an addiction recovery office who give Vivitrol injections to our patients. My bosses feel that we should be billing 99204 and 99214 more. I'm concerned that this is going to cause a l... [ Read More ]

office visit level for ortho visit with MRI order only

Excellent advise. An xray was taken which the provider billed for separately, which was the catalyst for the MRI. But that's where it ended (according to the note). Thank you for the suggestions on ... [ Read More ]

office visit level for ortho visit with MRI order only

[QUOTE="flowergrl, post: 515231, member: 734990"] No disrespect intended. What you are saying is I need to work with the provider to put more this the note to get to a level 99203. Which supports my... [ Read More ]

office visit level for ortho visit with MRI order only

No disrespect intended. What you are saying is I need to work with the provider to put more this the note to get to a level 99203. Which supports my point that what is currently in the note is a 992... [ Read More ]

office visit level for ortho visit with MRI order only

Orthocoderpgu - I now understand your reasoning, however without the documentation in the note that the provider is considering all of these options, and no documentation that the provider discussed a... [ Read More ]

office visit level for ortho visit with MRI order only

Anyone else in ortho have providers examining a patient for joint pain, either new or established, and they order an MRI to investigate a joint, and code it 99203-99213? My thoughts... Problems addre... [ Read More ]

Z02.89 denials

[QUOTE="cfordCPC, post: 513964, member: 55916"] What CPT codes are being assigned for these visits? [/QUOTE] 99203/4 or 99213/4... [ Read More ]

Coder review 99212/Provider insist on 99213 99212 coding self-limited or minor problem

I need feedback from Auditors and fellow coders. Let me start off by stating this provider does handwritten notes, which in itself is an issue. It is not at all helpful in justifying the level of care... [ Read More ]

how to bill the scenario

[QUOTE="OpenClaims, post: 513042, member: 835846"] Yes, you'll need to do the following in order to get all paid. Keep in mind that some payors don't want to pay the separate E/M but I typically send ... [ Read More ]

Compliancy- time based billing

[QUOTE="csperoni, post: 512287, member: 164618"] There is nothing prohibiting billing every visit based on time. It's one of those situations where it does make something look suspicious, and an insur... [ Read More ]

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