Hello all!
I currently work at a PCP office doing medical coding. We often have this debate and I was wondering what other coders thought.
Do you count giving a simple RX of an antibiotic for sinus infection, yeast infection, cough, etc as medication management? Usually, when an acute issue is documented with that 3-7 day RX we will code a 99213. The only time we push it to a L4 is if a 30 day RX is issued, a controlled substance was RXed or if the acute issue is causing an exacerbation on a chronic (EX: acute cough is causing patients chronic BP to being elevated). But for simple 1 diagnosis visits, we keep it low risk. What are your thoughts?
I currently work at a PCP office doing medical coding. We often have this debate and I was wondering what other coders thought.
Do you count giving a simple RX of an antibiotic for sinus infection, yeast infection, cough, etc as medication management? Usually, when an acute issue is documented with that 3-7 day RX we will code a 99213. The only time we push it to a L4 is if a 30 day RX is issued, a controlled substance was RXed or if the acute issue is causing an exacerbation on a chronic (EX: acute cough is causing patients chronic BP to being elevated). But for simple 1 diagnosis visits, we keep it low risk. What are your thoughts?
