Wiki Can this be billed? MCR patient, no DX


True Blue
Salt Lake City, UT
Best answers
Patient on MCR HMO comes to "Establish Care". The doc states in the records that are NO medical problems found or treated. Bullets needed for AWV were not done or Welcome to Medicare visit. Is there any way to bill this? Doc thinks this is worth a 99204. I don't think so and need some direction. Thanks.
I would like to see the notes but from this I would say a preventative exam with V70.0
with out the notes it is hard to say, but if as you say the bullet points for an AWV or IPPE are not met there does not seem to be much to bill. At most it would be a 99212 if there is some elements of HPI, ROS or MDM.