tmerickson
Guest
I have a progress note I'm auditing for correct coding, that most of the exam was deferred because the pt was severely mentally handicapped and was frightened at the time of exam. The physician did a detailed history, the MDM was low, and there was a portion of the exam that was completed (vitals, general apperance and judgement/insight). How would I code this new pt visit? 99201 because we only got a problem focused exam?