Wiki 99385 with 99203

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erica_breann@yahoo.com

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The provider saw the patient for an annual exam (OB/GYN) so a 99385 was billed. The patient discussed a problem as well which has proper documentation to warrant a regular E/M code too. My question is, should it be a 99203 or a 99213? The patient was seen in one sitting, not at 2 separate times so it makes me think all new patient codes. But the office staff questioned it & I have thrown myself down a rabbit hole! So any clarification or documentation on this subject would be much appreciated! Thank you!
 
Some insurances may deny the 99203 and want 99213 for this situation. I would bill both as new and change only if it is an insurance guideline.
 
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