Results 1 to 3 of 3

Follow-up to ER visit

  1. #1
    Question Follow-up to ER visit
    Exam Training Packages
    Here's my conundrum.....MD thinks it's worth a 99213, I say 99212:

    S: Here with right ankle pain;he twisted it. Went to the ER over the weekend. Negative x-ray but very swollen. He states he has broken it in the past.

    A&P: Gave him a script for PT for this severe right ankle sprain.

    That's it for the note, am I wrong?

    Thanks in advance for your response.

  2. #2
    I agree with you.

    S: Here with right ankle pain (chief complaint);he twisted it (context). Went to the ER over the weekend.Negative x-ray(mod factor). but very swollen (1 exam element). He states he has broken it in the past(past history).

    A&P: Gave him a script for PT for this severe right ankle sprain.

    New problem no work up 3 points
    PT Low

    So you have PF history, PF exam, Low MDM.

    If you could pull 1 ROS out of the history it would be a 3. I debated using very swollen as an ROS but that is more of an exam element in my opinion.

    Laura, CPC, CEMC

  3. #3
    Thanks Laura.

Similar Threads

  1. Question on a follow up visit
    By tmr1965 in forum General Surgery
    Replies: 1
    Last Post: 11-11-2015, 06:36 AM
  2. Billing a well visit with ADHD follow visit
    By buerklej in forum Billing/Reimbursement
    Replies: 3
    Last Post: 09-29-2015, 02:20 PM
  3. follow up visit
    By sbetts in forum General Surgery
    Replies: 3
    Last Post: 04-08-2013, 08:41 AM
  4. Follow up visit
    By LISAGASHO in forum Diagnosis Coding
    Replies: 2
    Last Post: 03-27-2013, 12:32 PM
  5. E/m visit vs fracture follow up
    By staceyp812 in forum Orthopaedics
    Replies: 2
    Last Post: 04-27-2011, 08:46 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.