I don't believe a 99214 is appropiate in this case. How many ROS was done on this exam? How much time did the Dr. spend face to face with the patient? Did they do any type of labs? From what I have learned this may only qualify as a 12 or a 13. A 14 is rare to give to a visit such as this, a 14 is running a marathon and spending at least 45 minutes with the patient. For example a 15 is usually only given if the Drl. is performing CPR on a patient getting into an ambulance on the way to the hospital. Example,I do child health and if the Dr. did a pulse ox meter, nebulizer treatment, a peek flow meter, another pulse ox, another neb treatment, peak flow and gave scripts and has to be well documented with the time in between neb treatments and complete ROS then they would get a 14. If you would like more info on choosing an e/m code you might want to check out www.emuniversity.com for more help. Good luck
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