NESmith
Guest
If you have the patient's vitals and the statement examination remains unchanged what level of exam would you assign to this? Thanks for your help.
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Wiki Exam
- Thread starter NESmith
- Start date
Wow! That's all that was documented? Hum!! You would have a problem focused exam but what was the chief complaint? Just curious.
NESmith
Guest
Patient states they are here for a two week follow up is the chief complaint
Follow up to what?
FTessaBartels
Guest
99211
99211 would be the highest I could come up with, given the very limited info available.
Of course, this would require a chief complaint.
Hope that helps.
F Tessa Bartels, CPC, CEMC
99211 would be the highest I could come up with, given the very limited info available.
Of course, this would require a chief complaint.
Hope that helps.
F Tessa Bartels, CPC, CEMC
SuzanBerman
Guru
At best, you have a 99212. You cannot refer to a previous exam. You must illustrate in your documentation the exam elements for each visit.
But adding that chief complaint, the 99211 might cover it. However, follow up from what? A surgery? A previous issue? A required follow-up?
But adding that chief complaint, the 99211 might cover it. However, follow up from what? A surgery? A previous issue? A required follow-up?