Results 1 to 3 of 3

Level of E/M service for child with fever

  1. Question Level of E/M service for child with fever
    Medical Coding Books
    A 5 year old presents with fever, upon exam he/she was found to have otitis media and and an antibiotic was prescribed. What level of E/M should be billed. Also, can someone please direct me to documentation on E/M codes for children and fevers. Thank you.

  2. #2
    Well, I can't tell you what "level" because I don't know what the rest of the documentation looks like. (history and exam) or if this is a new or established patient.

    I can, however, point you in the right direction for the medical decision making piece.

    Otitis media is normally acute, unless specified otherwise. A fever makes it a systemic symptom. This falls under "moderate" on the table of risk. An antibiotic would fall under moderate as well, due to the prescription drug management.

    If this is new to the provider, with a moderate risk, it equivilates to a level 4.

    If this is established to the provider (assuming it's worsening), with a moderate risk, it would equivilate to a 99213.

    Does that help?

  3. Default
    Yes it does, thank you very much.

Similar Threads

  1. What level of service?
    By Tonyj in forum E/M
    Replies: 2
    Last Post: 04-23-2015, 08:01 AM
  2. Level of Service
    By chavera in forum Billing/Reimbursement
    Replies: 2
    Last Post: 11-19-2012, 07:13 AM
  3. ED Level of Service
    By Jessheartz in forum E/M
    Replies: 0
    Last Post: 07-26-2012, 02:29 PM
  4. Replies: 0
    Last Post: 08-13-2009, 01:38 PM
  5. Level of EM Service?
    By grandmacora in forum E/M
    Replies: 4
    Last Post: 06-26-2009, 08:43 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.