cathspencer
New
hello I have a question regarding Dermatology.
When calculating the E&M level, patient came in and has diagnosis of L81.4, D22.5 L82.1,L57.0. All are chronic,stable
No medications given no data.
Provider decides to do a procedure cryotherapy on diagnosis L57.0.
And removal lesion of diagnose C44.519.
99212-25 for dx L81.4, D22.5, L82.1
17261-DX C44.519
17000-XS,51-L57.0
17003(1)-L57.0
MDM: straightforward
Two or more chronic stable conditions
One or more chronic with exacerbation
My auditor changed the level of care to 99214
MDM:
Two or more chronic stable conditions
C44.519 chronic w/exacerbated ( documented in chart)
Minor surgery performed with identified risk.
My question and confusion.... when calculating MDM is it proper to use minor surgery with risk or without risk when the procedure is done on the same day in office Clinic?
I was under the impression when using minor surgery as part of the MDM it needs to happen on a different day scheduled?
I want to correct this if I've been doing it wrong all this time.
Any help is definitely wanted.
When calculating the E&M level, patient came in and has diagnosis of L81.4, D22.5 L82.1,L57.0. All are chronic,stable
No medications given no data.
Provider decides to do a procedure cryotherapy on diagnosis L57.0.
And removal lesion of diagnose C44.519.
99212-25 for dx L81.4, D22.5, L82.1
17261-DX C44.519
17000-XS,51-L57.0
17003(1)-L57.0
MDM: straightforward
Two or more chronic stable conditions
One or more chronic with exacerbation
My auditor changed the level of care to 99214
MDM:
Two or more chronic stable conditions
C44.519 chronic w/exacerbated ( documented in chart)
Minor surgery performed with identified risk.
My question and confusion.... when calculating MDM is it proper to use minor surgery with risk or without risk when the procedure is done on the same day in office Clinic?
I was under the impression when using minor surgery as part of the MDM it needs to happen on a different day scheduled?
I want to correct this if I've been doing it wrong all this time.
Any help is definitely wanted.