• 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 99455

JMichelle

Guest
Messages
18
Location
LELAND, NC
Best answers
0
Hello. A patient came in for a rating. So our doctor wants to bill 99455 for the rating but in the dictation it is noted that the patient does not qualify for any permanent or partial disability. The patient doesn't technically have a "rating" because the patient can return to work full-time and full duty without any restrictions. We will use this visit as his maximal medical improvement visit since he has reached this. Would we bill the 99455? He technically did all the work for a rating. Or just bill an office visit? Thanks!
 
In my opinion, 99455 would be correct. Even though the physician found that the pt did not qualify for disability, he/she still did the work to evaluate and make that decision.
 
Top