DesertLeo
New
I am curious to hear how other coders get to a new patient level with CPT rules.
SPECIFICALLY:
When considering the HX, PE and MDM for a new patient level which level of elements do you require for the following:
For example using CPT RULES to code a 99204 do you require a COMP HISTORY, COMP PHYSICAL EXAM and A MODERATE MDM level?
OR would you allow a comp hx, comp exam and a low MDM level to count for a 99204? Or comp hx, detailed exam and moderate MDM level?
The difference in opinion can have a HUGE impact on new patient levels.
What is your view point - pls provide specifics as to what element levels you look for or require your codes to use.
Thank you.
SPECIFICALLY:
When considering the HX, PE and MDM for a new patient level which level of elements do you require for the following:
For example using CPT RULES to code a 99204 do you require a COMP HISTORY, COMP PHYSICAL EXAM and A MODERATE MDM level?
OR would you allow a comp hx, comp exam and a low MDM level to count for a 99204? Or comp hx, detailed exam and moderate MDM level?
The difference in opinion can have a HUGE impact on new patient levels.
What is your view point - pls provide specifics as to what element levels you look for or require your codes to use.
Thank you.