Wiki Medical clearance coding help

[ReginaR]

Hi all. I need some help. Medicare patient (existing patient to the office) presents for a medical clearance for surgery. How shall I code it? 99215? I am confused as I used to use consultation code. Can I use a 99204?

 

[ringalls]

Hi
I believe that if the patient is an establish patient of your office you have to use the 9921X codes for Medicare patient
Here is a MLN Matters for you to review
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6740.pdf
Hope this helps
Robin

Robin Ingalls-Fitzgerald CCS, CPC, FCS, CEMC, CEDC