• 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..

Wiki 99385 with 99203

Create Wiki
E

erica_breann@yahoo.com

New
Messages
1
Best answers
0
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.
 
You must log in or register to reply here.
Top