comprehensive

  1. J

    Wiki New patient, Comprehensive or Intermediate exam

    Hello - fairly new to Optometry/Ophthalmology coding... wanted to reach out for suggestion. Provider performed new, exam but didn't perform or document gross or confrontation visual field, nor vessels. Would this disqualify from a Comprehensive visit and down code to a Intermediate? I reached...
  2. S

    Wiki Drug Assay Coding - Your assistance please

    Hello all, I have a new client who has been billing the following for Presumptive Drug Class Screening (urine). The Laboratory Requisition indicates Drug Screen and Full Confirmation for a Comprehensive Test Panel. 80307 - Drug tests, presumptive, any number of drug classes...by instrument...
  3. S

    Wiki Specialty Exam: Neurology

    Does anyone have a workaround for the Ophthalmoscopic examination of the optic discs (e.g. size, C/D ratio, appearance) and posterior segments (e.g., vessel changes, exudates, hemorrhages) in the comprehensive neuro exam? Our providers are already checking the cranial nerve 2, so this seems...
  4. A

    Wiki Do you see a comprehensive exam here?

    Do you count 8 organ systems for a comprehensive exam? Patient is in a coma. VITAL SIGNS: BP 100/60, HR 90, Intubated on vent, sedated. Weight 171 kg. HEENT- face is cushingoid CHEST: bilateral rhonchi ABD: soft EXT: legs show edema NEURO: corneal and gag reflex absent. No movement or...
  5. A

    Wiki EM Exam components- does this meet a comprehensive exam?

    Do you count 8 organ systems for a comprehensive exam? Patient is in a coma. VITAL SIGNS: BP 100/60, HR 90, Intubated on vent, sedated. Weight 171 kg. HEENT- face is cushingoid CHEST: bilateral rhonchi ABD: soft EXT: legs show edema NEURO: corneal and gag reflex absent. No movement or...
  6. T

    Wiki E & M coding help please

    Please help with correct E&M code new patient office visit an expanded problem focused history, comprehensive exam MDM of high complexity what will the E & M code become
  7. kathymoon

    Wiki Coding a 99215

    I have an internist that sees many geriatric patients. As I am reviewing his charts, he is charging a 99215. The patient is coming in for a 6-month or 1 year check up. He documents a comprehensive history and a comprehensive physical exam. He is covering 4 or more chronic conditions that are...
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