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99213 vs 99214

  1. #11
    North Carolina
    Medical Coding Books
    I agree with Tessa and Lisa...

    When a patient complains of a sore throat, the automatic response (almost always) is to perform a strep test. If the strep test is negative and there's no other alarming issues going on, this could be viewed as a self limited/minor problem. As for the RX, some of my physicians prescribe Magic Mouthwash for comfort (ease oral and esophageal pain). Since I'm not clinical, I try not to determine medical necessity unless it's boldly, starring me in the face. With that being said...I know that some of our physicians could argue a detailed exam, using 95. depends on documentation and medical necessity...

  2. Default 12 bullets
    There are 12 bullets in the exam-enough for 99214, 1997 guidelines.

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