Wiki Question

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Can we bill diagnosis R19.7 with E/M code 99213 for a patient 36years old?

 

[sls314]

Can we bill diagnosis R19.7 with E/M code 99213 for a patient 36years old?

R19.7 (diarrhea) could be used as a primary diagnosis.

As with any sign or symptom diagnosis, you'd only use if the provider hadn't confirmed a related definitive diagnosis. For example, if the provider determined that the patient had a viral gastroenteritis, you'd use the appropriate code for that and drop the R19.7.

R19.7 can be billed with an E/M visit. The exact level would depend on the medical decision making (or time).

You can use the AMA MDM table to help determine what level visit would be appropriate for the encounter: https://www.ama-assn.org/system/files/2019-06/cpt-revised-mdm-grid.pdf