• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki ED level for prescription refill only

Create Wiki
A

annierevt

Contributor
Messages
11
Location
Willow Park, TX
Best answers
0
ED EM pro fee levelling question... patient presents to ED for prescription refill as he doesn't have a PCP. He presents every month for the same refill of his BPH med. No workup or eval done due to patient being a known patient. No other PMH so no chronic conditions and not on other meds. I coded to a level 2 based on no evaluation or workup, no tx given and just a script. It came back after audit as an error saying it should be a level 3. Thoughts?
 
annierevt said:
ED EM pro fee levelling question... patient presents to ED for prescription refill as he doesn't have a PCP. He presents every month for the same refill of his BPH med. No workup or eval done due to patient being a known patient. No other PMH so no chronic conditions and not on other meds. I coded to a level 2 based on no evaluation or workup, no tx given and just a script. It came back after audit as an error saying it should be a level 3. Thoughts?
Click to expand...
I would agree with 99283 for the pro and a 99281 for fac if it's just a refill
 
I would agree with 99283. BPH is a chronic condition so the Complexity is Low due to one stable chronic illness. Nothing in Data. But Risk is moderate because RX written. 1 low +1 moderate = 99283
 
You must log in or register to reply here.
Top