It's a little hard to judge definitively without seeing the documentation and the physician's assessment of the patient's condition and prognosis, but based just on what you've said you're auditing looks correct and I would agree that this qualifies as high risk and meets the criteria for a 99223.
- ICD-10 Training
- Exam Preparation
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Code Lookup with AAPC Coder
- Coding Data Files
- ICD-9 to ICD-10 Code Converter (FREE)
- Other ICD-10 Codes / Resources
- CPT Codes
- HCPCS Codes
- E/M Analyzer (FREE)
- CPT RVU Calculator (FREE)
- Risk Adjustment Search (FREE)
- PQRS Measure Search (FREE)
- Health Plan / Provider Policy Search (FREE)
- MACRA Calculator
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join