99213?-It is Okey

[veloso]

Hi All,
It is Okey to bill for 99213 if the Physical Exam is ONLY the Vitals ?=BUT =the notes do have a complete HPI, ROS and ASSESSMENT with TX. because we have a provider in which she don't document PHY. EXAM. for ALL her 99213 visits.

Thanks

 

[mitchellde]

established patient encounters are based on 2 out of the 3 key components, however if history is only brought forward from a previous encounter then it cannot count. So theoretically a 99213 can be based on only history and MDM but it should not be the norm.

 

[veloso]

Thanks a lot, Debra, NO the HPI is not from the previous encounter (s) so I did it right..then..