Wiki Need E & M code for this HPI

[carol52]

HPI: Pt presented for screening colonoscopy.

The rest of the H & P I comprehensive ROS, comprehensive Exam . I am trying to educate Dr circled 99203 . What can I say ?

 

[ajs]

HPI: Pt presented for screening colonoscopy.

The rest of the H & P I comprehensive ROS, comprehensive Exam . I am trying to educate Dr circled 99203 . What can I say ?

Well that looks more like the Chief Complaint. There is no HPI in that statement. And was there documentation of PFSH?

 

[rthames052006]

HPI: Pt presented for screening colonoscopy.

The rest of the H & P I comprehensive ROS, comprehensive Exam . I am trying to educate Dr circled 99203 . What can I say ?

This sounds to be like the "reason for the visit", no chief complaint listed here that I see and not much of an HPI in my opinion. I'd show the doctor the CPT manual the green pages and also go the the cpt code range he/she picked where it describes what is required as well.

 

[ajs]

This sounds to be like the "reason for the visit", no chief complaint listed here that I see and not much of an HPI in my opinion. I'd show the doctor the CPT manual the green pages and also go the the cpt code range he/she picked where it describes what is required as well.

I think the "reason for the visit" and "chief complaint" are one in the same. This is what I got from the description in the CPT book anyway. But there definitely is not HPI in this documentation.

 

[carol52]

I appreciate the responses , I have discussed what is needed in the HPI and he has been better I agree with your findings of CC. Thanks so much.

 

[FTessaBartels]

E/M is part of the colonoscopy

If the patient came to you for a colonoscopy, the evaluation is part of the reimbursement for the procedure. You should not be billing ANY E/M separately.

Hope that helps.

F Tessa Bartels, CPC, CEMC

 

[carol52]

So, even though the patient was referred to the Dr (Surgeon) and had not been in the office before to discuss the c-scope you cannot bill for the E & M ?