CrysLednum
Guru
Hi - I have a doctor who wants to charge a level 5 (99255) for a consult he did in the hospital on a patient who is demented. I performed the audit using Medicare's E/M audit sheets and while he has 2 components that are comprehensive, his history portion is only a level 2. His question is doesn't Medicare allow a level 5 when the patient is demented. I have not found anything to support this. Maybe I have missed something? Thanks!