meganpoelzer
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Does anybody have any tips on how to determine medical necessity for a presenting problem?
Example, patient presents with sinus pain/pressure and cough.
Based on what's documented:
HPI=Detailed
Exam=Expanded
MDM=Moderate (new problem, prescription drug management, dx=sinusitis)
According to what's documented, this is a 99214 but I am unsure if this OK based on the medical necessity of the problem.
I don't see any good equivalent clinical examples for this in CPT.
Example, patient presents with sinus pain/pressure and cough.
Based on what's documented:
HPI=Detailed
Exam=Expanded
MDM=Moderate (new problem, prescription drug management, dx=sinusitis)
According to what's documented, this is a 99214 but I am unsure if this OK based on the medical necessity of the problem.
I don't see any good equivalent clinical examples for this in CPT.