Trendale
Guest
Hi,
Can someone give feed back,supporting documentation regarding the following scenario:
The physician dictated that the patient came in basically to pick up a note to return to work. He said he gave her a note for light duty for two weeks and then full duty with no restrictions. He will see her back PRN. There is no need for further orthopedic intervention.
I beleve this is not enough information to even bill a level of service( I initially was going to code 99212, but his dictation does not relfect 2 out of 3 components for establish patients, as their is no exam, no ROS, no PFSH. A copayment was charged, and my manager said we should probaly go ahead and charge the lowest level.)
I beleve there is a medical record release form code along with a v code to charge. I haven't ran across this situation in a while, so I am not sure.
Thanks!
Can someone give feed back,supporting documentation regarding the following scenario:
The physician dictated that the patient came in basically to pick up a note to return to work. He said he gave her a note for light duty for two weeks and then full duty with no restrictions. He will see her back PRN. There is no need for further orthopedic intervention.
I beleve this is not enough information to even bill a level of service( I initially was going to code 99212, but his dictation does not relfect 2 out of 3 components for establish patients, as their is no exam, no ROS, no PFSH. A copayment was charged, and my manager said we should probaly go ahead and charge the lowest level.)
I beleve there is a medical record release form code along with a v code to charge. I haven't ran across this situation in a while, so I am not sure.
Thanks!