Love Coding!
Expert
Hello,
We all know that some physicians tend to overload dictation with unecessary ICD-9 codes thinking that it would help the level of visit. I advise my physicians if it is not applicable to the visit do not bill or code it. I need a consensus on how other coders view this scenario.
Medical Decision Making
Provider "DICTATED" 4 STABLE chronic illness, only "BILLS" for 2 = 2 problem points
Level of risk = 2 or more stable chronic illnesses
Data reviewed = 0
_______________________________________________
Medical Complexity - LOW
Exam - Detailed
= 99213
OR
Medical Complexity - Moderate
Exam - Detailed
= 99214 "For "dictating" the four problem points even though billed for only two
I work in a coding facility that I am not able to "kick back" the billing slip for the provider to bill diagnosis that are missed but supported by dictation.
Any insight would be greatly appreciated!
dscoder74
We all know that some physicians tend to overload dictation with unecessary ICD-9 codes thinking that it would help the level of visit. I advise my physicians if it is not applicable to the visit do not bill or code it. I need a consensus on how other coders view this scenario.
Medical Decision Making
Provider "DICTATED" 4 STABLE chronic illness, only "BILLS" for 2 = 2 problem points
Level of risk = 2 or more stable chronic illnesses
Data reviewed = 0
_______________________________________________
Medical Complexity - LOW
Exam - Detailed
= 99213
OR
Medical Complexity - Moderate
Exam - Detailed
= 99214 "For "dictating" the four problem points even though billed for only two
I work in a coding facility that I am not able to "kick back" the billing slip for the provider to bill diagnosis that are missed but supported by dictation.
Any insight would be greatly appreciated!
dscoder74