• 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..

referral

  1. ksrodgers

    Wiki Level 2 or 3?

    I'm having an impossible time leveling this visit. A patient comes in to request discussion for vasectomy at a PCP visit. The PCP puts in a referral for vasectomy. That is all the note states. The provider does not do an evaluation or give a summary of his discussion (if he had one) with the...
  2. S

    Wiki What element level of MDM would a specialist referral fall under 2021 E/M Guidelines?

    Our PCP providers would like to consider a referral to a specialist as a LOW RISK under column 3 of the 2021 E/M table for Risk of Complications and/or Morbidity or Mortality of Patient Management. In comparison to Box A. of the 2020 & earlier E/M table and guidelines, whether a condition was...
    • SLindloff
    • Thread
    • 2021 e/m 2021 e/m risk 2021 guidelines e/m changes mdm risk medical decision making referral referrals
    • Replies: 9
    • Forum: E/M
  3. D

    Wiki Referral Carolina Access - Medicaid NC

    I know standard Medicaid does not require a referral and I understand that Carolina Access does for a specialist. My question is does the referral have to have an authorization number on it? I thought it did and when I called the PCP and asked for one I could feel them stare at me through the...
  4. D

    Wiki 2021 E/M MDM Element #3 - Minimal and Low Risk

    Does anyone have any clarification on the new 2021 E/M Guidelines when it comes to Element #3? I am having trouble being able to choose between minimal risk and low risk for a patient because they do not have specific bullet options in those two categories to pick from. For example, if a...
  5. A

    Wiki First listed diagnosis for surgical evaluation for colon polyp

    Hello, I'm a new CPC-A and I'm trying to understand how to select diagnoses for office visits. Am I selecting the diagnosis based on the reason for the visit? Or for the patient's condition at the time of the visit? I know it can be the first one if a diagnosis is not established, and the second...
    • adinson
    • Thread
    • colon polyp first listed diagnosis new patient referral tubulovillous adenoma
    • Replies: 2
    • Forum: ICD-10
  6. M

    Wiki Paitent seen to request referral.

    An established patient was seen to request a referral for weight loss surgery. A physical exam and ROS were done, but no other issues were discussed, just the referral for weight loss surgery. What diagnosis code should I use for this? Is this even billable?
  7. D

    Wiki Code for referrals

    I code for a Family Practice. Say our physician refers a patient for a routine mammogram (Z12.31), do we include this code on our billing as well just because a referral was issued?
Top