99213

  1. L

    Wiki Addiction Recovery Billing

    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 lot of denials for our billing team. I rarely bill a level 4 because our patients come back every...
  2. KStaten

    Wiki E/M Level for Pain Following Hip Replacement (Outside Global Period)

    Hello, everyone. :) Does anyone think this would justify a 99213 with the new guidelines or would it only meet the requirements for a 99212? (Input is greatly appreciated!) -------------------------------------------------------------------------------------------------------------------------...
    • KStaten
    • Thread
    • 99212 99213 e/m mdm
    • Replies: 2
    • Forum: E/M
  3. S

    Wiki detailed exam?

    I am still getting my feet wet on E/M coding/auditing. I am stuck on the following encounter. I feel it is a 99213 for established problem not responding/worsening, only one point for data review (DAT results), and a Moderate MDM with prescription drug management. However, the history...
    • salindarose
    • Thread
    • 99213 detailed exam e&m
    • Replies: 0
    • Forum: E/M
  4. L

    Wiki Acne Visit with Injections-PA Derm Office

    Pt was seen for routine monthly acne visit. Dr notes have Acne Post Inflammatory Hyperpigmentation and Acne Scars, same note every month. This particular visit she injected one spot on pt due to its size and location-one spot of the acne. she has an office visit of 99213 and 1 injection of...
    • LBernat7
    • Thread
    • 11900 99213 acne injections kenalog
    • Replies: 2
    • Forum: Dermatology
  5. N

    Wiki 991213 or 99214?

    How would you code a visit for a HTN, ADHD or other chronic condition that requires management, where the pt is controlled and the physician is meeting all 4 HPI elements? Would you bill as 99213 or 99214? Thanks in advance!
  6. J

    Wiki OB visits for medicaid patients

    what do you bill for a OB visit for a patient with no complications. do you use the ACOG prenatal flowsheet? Currently we bill a 99213 but I am questioning the MDM if the patient is having no complications?
    • Jamiemrph485
    • Thread
    • 99213 bill complications mdm patient
    • Replies: 5
    • Forum: OB/GYN
  7. S

    Wiki Help!

    We recently added a dermatologist to our practice and he insisted that we can bill an office visit 99213 and excision for the same day with the same diagnosis code...I believe that's not right ...Please help
  8. N

    Wiki 99213 vs 99214 dispute

    Im having a dispute concerning 99213 vs 99214 with a docter i work for. I code on an EHR system and he will not sign off on my codes because he does not believe im correct. I refuse to down code for fear of being audited and charged with fraud. The problem is that the patient comes in for an...
Top