I am currently taking the E/M university course which is called the Coder Curriculum.
In the lesson on requirements for coding 99223 the sample patient is unable to provide a history.
The instructor of the course has indicated that the "caveat" allows the provider to take credit for a complete ROS.
"Caveat" is 1995 and 1997 DG: Record should describe patient's condition or other circumstance which precludes
obtaining a history. Can other coders confirm that this is correct? I have heard of it before but never had to
rely on the statement to determine an E/M level.
In the lesson on requirements for coding 99223 the sample patient is unable to provide a history.
The instructor of the course has indicated that the "caveat" allows the provider to take credit for a complete ROS.
"Caveat" is 1995 and 1997 DG: Record should describe patient's condition or other circumstance which precludes
obtaining a history. Can other coders confirm that this is correct? I have heard of it before but never had to
rely on the statement to determine an E/M level.