AAPC - Back to school
Page 2 of 2 FirstFirst 12
Results 11 to 13 of 13

Thread: Problem Focus

  1. #11
    Join Date
    Apr 2007
    Duluth, Minnesota


    AAPC: Back to School
    I agree with katmryn78 (Laura) on this one. It's a "follow-up", and yes - the child has had 3 infections since the tubes were placed, however, it doesn't appear to be the case at "THIS" office visit. So that info pretty much falls to "past medical history". Not to mention, his TM's appear normal on this visit. Per documentation.

    agreed - need more info for the MDM..

    again, I agree with katmryn78 (Laura) on her assessment of this visit.
    Donna, CPC, CPC-H

  2. #12


    It sounds like to me the patient still has OM - doing "well" on meds but still blockage, still drainage all signs/sx of OM. or maybe it's from the functionality of the tubes.... I need the a/p. are these short term tubes? maybe he's considering replacing w/ long term? Post the rest of the note if you could... too many if's... this is why I just love E/M.....

  3. #13
    Join Date
    Apr 2007
    Milwaukee WI

    Default Resolved vs worsening

    I'm not convinced that this visit is for a worsening problem, since the poster began by saying this was for OM resolved and the Chief complaint is just F/U ears. It's possible the doctor is just being thorough in his chronology by referencing the 3 infections.

    But everything else that AR noted, I agree with. The Hx and Exam (per 1995) guidelines get me to a 99214. (By the way , I notice that for PMFSH the doctor writes "reviewed -no changes required" so I'm assuming there is a patient questionaire in the chart somewhere that would have this in detail.)

    Still, just as AR mentioned, I'd like to see the rest of the note. If it really is a resolved problem and there's no further work-up I might be less inclined to go with the 99214. But it is definitely at the very least a 99213 visit.

    F Tessa Bartels, CPC, CEMC

Page 2 of 2 FirstFirst 12

Similar Threads

  1. Replies: 1
    Last Post: 01-23-2014, 08:41 AM
  2. hypoechoic focus in liver
    By ilvchopin in forum Gastroenterology
    Replies: 1
    Last Post: 03-25-2011, 04:23 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.