"pt. name", is a longstanding patient of mine. I am awaiting transfer of her records from my previous group.
To the best of my recollections, she has a history of a fusiform abdominal aortic aneurysm measuring approximately 4.5 cm at maximum transverse diameter for which we chose not to proceed with operative intervention and previously she had an out-patient ultrasound performed that showed this to be a 4.7 by patient history.
I am in the process of obtaining an abdominal CTA with pelvic views. I will see her back in the office to discuss these findings and be sure to keep you infirmed of further findings. I hope to be in receipt of her prior records by then as well
Signed by physician.
That is the extent of the note that billed/paid with a 99214 code!
Any other ideas regarding any code that could be applied here? I am thinking no code assignment based on the note info?!!
Thanks..
To the best of my recollections, she has a history of a fusiform abdominal aortic aneurysm measuring approximately 4.5 cm at maximum transverse diameter for which we chose not to proceed with operative intervention and previously she had an out-patient ultrasound performed that showed this to be a 4.7 by patient history.
I am in the process of obtaining an abdominal CTA with pelvic views. I will see her back in the office to discuss these findings and be sure to keep you infirmed of further findings. I hope to be in receipt of her prior records by then as well
Signed by physician.
That is the extent of the note that billed/paid with a 99214 code!
Any other ideas regarding any code that could be applied here? I am thinking no code assignment based on the note info?!!
Thanks..