99214 for PDT

scaddell

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Does the discussion/treatment plan and scheduling of Photo Dynamic Therapy for treatment of AK's justify a 99214 ?
 

AaPe12

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I think it is difficult to generalize based on the information provided. For example, worsening actinic keratosis with 3 ordered labs might justify CPT 99214. I might not be inclined to assign moderate risk for PDT without supporting information. There could be instances when a lower E/M would be appropriate. I would caution against assuming that there will always be one E/M in this situation- there are too many possible variables.
 
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