Wiki Fetal Visits Documentation Requirements

Butterfly1972

Contributor
Messages
14
Location
Statesboro, GA
Best answers
0
documentation requirements for the fetal visits. It had always been suggested that the time be documented for these to support the level but is it a requirement and could we not also code on MDM only now for the 2023 guidelines (particularly consults). And if the time is missing, would it be appropriate to ask for an addendum to support a higher level?
 
documentation requirements for the fetal visits. It had always been suggested that the time be documented for these to support the level but is it a requirement and could we not also code on MDM only now for the 2023 guidelines (particularly consults). And if the time is missing, would it be appropriate to ask for an addendum to support a higher level?
Do you mean antepartum visits? If you code on MDM that must be clearly documented for the level you pick. In most cases, in a normal pregnancy you will not exceed a 99213. Time is always an option of course but the provider should be the one making this determination, not the coder.
 
Top