E&M Level

shruthi

Guru
Messages
134
Location
Mysore, Karnataka
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Just need suggestion regarding E&M level.

Will the E&M level for new patient be 99203 or 99204, if history and examination is complete and in MDM
# of Dx - NP with add'l WP planned
Data reviewed - MRI
Risk - Lumar radiculopathy with prescription for Neurontin 100 mg

Thanks.
 
Messages
4,466
Location
Milwaukee WI
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Moderate MDM

Your MDM is moderate, but not knowing your level of history or exam, I cannot tell you what level of new patient visit to code.

Remember, that for a new patient visit documentation must MEET or EXCEED the level required for ALL THREE ELEMENTS

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
Messages
4
Location
Kansas City
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0
Pregnancy referral to treat STD

Should the provider that the patient was referred to, report the pregnancy status along with the STD diagnosis?

Thanks, Janice
 

mitchellde

True Blue
Messages
13,532
Location
Columbia, MO
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2
absolutely, unless he documents the pregnancy is not complicated by the STD you will use an O code for the first listed code.
 
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