Wiki E/M Dermatology 99212, 99213

[LBernat7]

We have had some difference of opinon on how to bill out the E&M lately with new drs on staff vs drs that have been here for years. Generally patient comes in here for a Full Skin exam which may or may not result in some biopsies but mostly the only other things notes are SK's and maybe Acne or something. What level would most of you see?

Also in the case of patient presenting with Alopecia dr looks it over perscribes medcine or treatment plan patient goes home?

All notes are very basic and straightforward

thanks

 

[tkermode]

Depends on the dx/treatment

It could be anything from lvl 2 to lvl 4, depending on the findings, dx, and treatment plan (and the level of history/exam). Do you have a specific example?

If you are having an issue with the docs, perhaps you could offer to spot audit them, using an E/M coding tool, then they will have a better idea of which codes are supported by their documentation.

 

[LBernat7]

coding tool? and example

One I agree on a spot audit and where is a good coding tool to use?

Also an example:

Pt presents today for full skin exam, pt is 45 years old has history of SCC/BCC, one new growth noted. Pt also concerend about rash on neck been present for 2 weeks itchy and red

Full Skin Exam done findings include spot of concern that was biopsied ansd sent for path
Rash on neck red itchy probably contact derm- script given

(that's basic but you get the idea)

It could be anything from lvl 2 to lvl 4, depending on the findings, dx, and treatment plan (and the level of history/exam). Do you have a specific example?

If you are having an issue with the docs, perhaps you could offer to spot audit them, using an E/M coding tool, then they will have a better idea of which codes are supported by their documentation.