GretchenC123
Networker
Can someone please clarify. Can a provider exclude a physical exam when billing and coding for a 99213? I am auditing a record and the provider treated a patient for nearly 2 years and only documented one exam in November 2021 and never documented another physical exam again despite 13 repeat visits, all coded as a 99213, with the last visit being June of 2023. Is this acceptable and would these claims be adjudicated?
Thank you.
Thank you.