This is an established patient that they have made a decision to do surgery in this visit just pending the patients final decision.
Detailed history, problem focused exam, MDM of moderate. At the end of the note I have this
"Overall I spent about 40 minutes with Ms. Patient and her family this morning and the vast majority of this time was spent with medical decison making."
Another coder selected 99215. I'm not really comfortable with this due to the reference to MDM.
Insight is greatly appreciated.
Thanks
Laura, CPC, CPMA, CEMC
Detailed history, problem focused exam, MDM of moderate. At the end of the note I have this
"Overall I spent about 40 minutes with Ms. Patient and her family this morning and the vast majority of this time was spent with medical decison making."
Another coder selected 99215. I'm not really comfortable with this due to the reference to MDM.
Insight is greatly appreciated.
Thanks
Laura, CPC, CPMA, CEMC