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Wiki E/M billable?

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T

torih@nwurology.com

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Beaverton, OR
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I have a patient with a hx of Bladder CA. He came in for his yearly cystoscopy. In the HPI there is a summary of the CA and then "he has nocturia x 1. He void with a fair force stream. He denies dysuria, hematuria or any significant urgency". The cysto is performed and f/u in one year.

Does the HPI substantiate a 99212 due to the nocturia? The only dx coded was V10.51.

Thanks
Tori
 
non-billable service

I don't think this warrants an E/M service. The patient did not come in for this symptom and it was not worked up.The patient came in for procedure.

Tricia D
 
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