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Wiki Proper Documentation for Phototherapy CPT 96910

douglaCD

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Norfolk, VA
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Hey all you amazing coding experts!

Quick question,

What are the specific guidelines for documenting an visit for phototherapy only; no evaluation and management? Currently, one of my providers reevaluates a patient approx. every 20 visits and creates an E/M note. But, the actual light treatments are kept on a log in each patients chart with the date, dosage and time that the patient spent in therapy. I use this to create a charge encounter.

Tell me, are our methods of documentation and billing appropriate or should we make some changes?

Please, indulge me with you expertise!

Thanks and Take care :)

Christina D
 
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