Since we're a radiology group our hospital follow ups to the IR procedures are normally 99231. But now the group wants to do a new procedure which (per Society of Interventional Radiology) would fall under a hospital follow up code. I'm wondering what would be required to bill a 99232 for these.
The situation is that we've previously placed a chest tube (no global) for empyema and now the tube by itself isn't resolving the problem (there's my moderate complexity decision making). So the doctor injects tPA into the tube to help resolve the empyema.
I believe I only need either history or exam but not both. Exam is going to be limited to one area which would be problem focused. So we're left with history. What do I need in the history for expanded problem focused?
Thanks,
Diane Huston, CPC,RCC
The situation is that we've previously placed a chest tube (no global) for empyema and now the tube by itself isn't resolving the problem (there's my moderate complexity decision making). So the doctor injects tPA into the tube to help resolve the empyema.
I believe I only need either history or exam but not both. Exam is going to be limited to one area which would be problem focused. So we're left with history. What do I need in the history for expanded problem focused?
Thanks,
Diane Huston, CPC,RCC