• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

eval & management

  1. J

    Wiki TCM- Transitional Care Management

    Can you bill an office visit E/M (E.g., 99213) on the same day as billing TCM 99495/99496?
    • jhaleycoder
    • Thread
    • eval & management tcm transitional care management
    • Replies: 1
    • Forum: E/M
  2. J

    Wiki Level 5 Education

    Hi Everyone- I wanted to reach out for help. I want to educate my providers on when TO and NOT to use a level 5. I am finding some providers are using cloned statements adding time when decision of surgery is made. They are adding a cloned statement for risk factors of surgery. How can I...
    • jhaleycoder
    • Thread
    • coding e/m audit e/m code help eval & management level 5 upcoding
    • Replies: 3
    • Forum: E/M
  3. K

    Wiki Too many DX Codes for Medicare?

    I have a physical therapist wanting to submit a claim to Medicare with 6 DX codes for their evaluation (97163 GP & 97110 GP). Their primary diagnosis is G35 (MS) but the provider has also added M21.372, M54.6, M54.59, M25.552, M25.562. I am worried this will lead to a denial. Thoughts?
    • kkornkven167
    • Thread
    • coding diagnosis codes eval & management medicare
    • Replies: 3
    • Forum: ICD-10
  4. S

    Wiki No insurance, EM+ procedure

    Hi, Our practice wants to offer discount rates on office visits and procedures for those patients without insurance. We have a concern on billing correctly. Example: If filing insurance: A procedure is performed (no separately identifiable EM) then only the procedure would be billed to...
  5. firetorah

    Wiki Nutrition/Diabetes Counseling Group E/M visit

    OK, here's the deal: I have a physician and a Registered Dietitian who wish to hold group nutrition and/or diabetes counseling sessions. Let's assume the session is 30 minutes long and involves 10 patients. This is their scenario: The physician wishes to charge each patient with an E/M...
    • firetorah
    • Thread
    • counseling diabetic counseling dietician e/m coding eval & management evaluation & management evaluation and management group medical visits group therapy medical nutrition therapy
    • Replies: 2
    • Forum: E/M
  6. C

    Wiki 2021 MDM: Procedure Risk Factors

    What would you identify as a procedure risk factor? Is it the documented inherent risks of the procedure? Please provide supporting references if possible.
  7. S

    Wiki New Patient/ Flu only but coding a level of service

    For this flu season I am seeing new patients who are only coming in to receive a flu shot having to book an office visit with a provider. They are dropping a level of service code (E&M code EG: 99201-99205), the flu vaccine and the flu administration code. The patient has no chief complaint or...
Top