1. L

    Wiki MDM with 2 history of codes

    I am trying to figure out E/M level here... I was told 2 history of diagnosis are considered stable chronic. So this would be a 99214 due to that and data points. Is this accurate? history of codes being "counted" this way? Can anyone provide any resources? Thank you in advance!
  2. S

    Wiki Chronic exacerbated condition, help!

    We have a provider saying that if a chronic condition has the capability to one day become exacerbated, then it will ALWAYS be counted as a chronic condition with exacerbation. We disagree and say it would have to be exacerbated at this visit. Are we incorrect in understanding everything is from...
  3. D

    Wiki 99221 or 99223????/Neuro Inp Consult

    HPI comp PFSH Comp ROS Comp Exam GA no acute distress HEENT mucus membranes moist, no conjunctival injection Fundoscopic exam-optic disc sharp on L, unable to see R CARDIO carotids-no bruit Heart-regular rate and rhythm+cardiac friction rub, no murmurs or...
  4. D

    Wiki Consult/Hospital Visit/Subsequent ???

    For inpatient neurology consult coding. HPI ROS PFMSH EXM MDM My question is that there is also a Neuro Exam which consist of Gen app-(1), Vitals 3 vitals (1), Fundus (optic disc exam (1), CV (pulses, bruits, or auscultation of heart (one point Maximum), Mental status (5), CN (8), Tone...
  5. T

    Wiki ED E&M code please help

    emergency room visit with a problem focused history comprehensive exam and MDM of high complexity would the code become a 99283 or 99284
  6. J

    Wiki Amount and/or Complexity of Data Reviewed section

    I need some clarification on the EKG review and the consultation. This is what I got from the J8 MAC Part B: Ordering and performance of an EKG into the E/M coding when the EKG is performed in the physician's office. Both the EKG would be part of the Medical Decision Making under the Risk...
  7. T

    Wiki Presenting Problem & Management Options

    If a patient has more than 4 diagnoses or the patient is on dilaudid or any type of monitoring would that make it a high complexity decision making? If there is a reference to this I would greatly appreciate the help. Thank you.
  8. N

    Wiki Moderate Complexity lab tests??

    I was wondering if anyone could tell me (or direct me to the proper documentation) what are moderate complexity labs? :cool: