New patient visit/diagnosis billing help!

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Phoenix, Arizona
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Hello,

I have a question..if a patient is seen on an initial office visit for a condition that was active a few weeks prior and does no longer have it at the time of the visit, can the physician bill for the diagnosis?

Example:

Patient had colitis in the hospital weeks prior to being seen in our office. The physician did not see this patient in the hospital, nor any of our other physicians. So my question is can he bill for this even though the patient no longer has this condition, this contributed to the acute kidney injury that the patient had? By the way my physicians are Nephrologists, so we deal with the kidneys.

Thank you!
 
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Milwaukee WI
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Code ONLY for what was addressed

You should code ONLY the condition that was addressed.

What if the patient had a broken leg in a cast when s/he came to you? Would you code the fracture? Ridiculous example just to make my point.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 

Love Coding!

Expert
Messages
371
Location
Phoenix, Arizona
Best answers
0
You should code ONLY the condition that was addressed.

What if the patient had a broken leg in a cast when s/he came to you? Would you code the fracture? Ridiculous example just to make my point.

Hope that helps.

F Tessa Bartels, CPC, CEMC
Hi Tessa,

You see I had the same idea as you, however I needed some reassurance on the issue. Thanks for your input...
 
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