Dopamine Challenge

jessicaparker1

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Hi,

I'm covering for our Neurology coder....... One of our providers have asked me how should she bill for a dopamine challenge. I've looked high and low to see if there was anything out there about how other practices are coding this. To my understanding, the patient comes in without taking any Parkinson’s meds from midnight the night before. They do a history update, med review, PE, and Parkinson’s exam. Then they take their Parkinson’s meds and once the meds are working, they repeat the Parkinson’s exam. It can take several hours for this to complete.

Can you tell me how your practices are billing for the service? Are you adding a Prolong E&M code.

Thank You any help to get me to the right place.
 
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