e/m leveling

[Korbc]

Hey guys!

Since in 2027 i will have to level all OB visits when the guidelines change i was just wondering if you guys would consider this visit a 99212 instead of a 99213. I think it's a 99212

"said patient" is here today for routine OB visit. She complains of itching all over her body. She has a papule rash on arms and legs nothing on abdomen. She said she had itching on lower back as well which there is an open area from her itching. She denies changing any new detergents or soaps. Advised oatmeal bath and benadryl. GBS culture obtained. SOL reviewed. +Fm, -LOF/CTX/VB. Will RTO in 1 week.

thanks!

 

[Korbc]

hey guys! also i've seen multiple sources consider pregnancy as a chronic condition when leveling or moderate level in of itself. heres a link to one source

https://www.smfm.org/news/pregnancy---chronic-or-acute-problem-for-medical-decision-making

so my question is when someone doesn't have preexisting depression or anxiety but specially pp depression with exacerbation of symptoms and we rx then i would consider that moderate but since it's not preexisting and specifically post partum depression any thoughts on if still moderate level or not for complexity of problems on mdm?

thanks!

 

[natashalage]

Hey guys!

Since in 2027 i will have to level all OB visits when the guidelines change i was just wondering if you guys would consider this visit a 99212 instead of a 99213. I think it's a 99212

"said patient" is here today for routine OB visit. She complains of itching all over her body. She has a papule rash on arms and legs nothing on abdomen. She said she had itching on lower back as well which there is an open area from her itching. She denies changing any new detergents or soaps. Advised oatmeal bath and benadryl. GBS culture obtained. SOL reviewed. +Fm, -LOF/CTX/VB. Will RTO in 1 week.

thanks!

hmm... I am not an expert but I feel like coding it 99213 because... rash and pregnancy = could fall under Low ( 2+ minor problems) + OTC meds= Low. Low and Low =99213. IF she was not pregnant, then more straight forward 99212. But i am not sure.