AAPC - Back to school
Results 1 to 3 of 3

Thread: Examination HELP!!

  1. #1

    Default Examination HELP!!

    AAPC: Back to School
    I'm not sure what to do in this situation and really need some advice.
    My physician seen a patient in the hospital did a comprehensive HPI and MDM but was not able to perform a cardiology exam: my phydician stated the below on his report:

    "Because of religious reasons the husband refuses to allow any males to examine his wife. He did allow me to place my stethoscope on her chest and I did not hear any pericardial friction rub".

    How do I code this?

    Many thanks in advance.

  2. #2
    Join Date
    Apr 2007
    Rose City (Portland, Oregon)


    It depends on if this is a subsequent hospital visit or initial/consult. Because of the comp history, I'll assume that it is an initial/consult. If it is an initial, your option is to bill based upon time or 99499 (unlisted E&M code) or use 99231-99233 (using 2 of 3 for history/mdm). If it is a consult, your option is 99251 (one exam was done) or to bill based upon time.

    Good luck.


  3. #3


    Thanks Erin for your reply this is very helful

Similar Threads

  1. COC Examination
    By jenrick in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-18-2015, 01:46 PM
  2. Examination
    By hhowe in forum E/M
    Replies: 2
    Last Post: 10-29-2012, 02:16 PM
  3. Examination Documentation
    By maine4me in forum Auditing General Discussion
    Replies: 3
    Last Post: 04-26-2012, 10:26 AM
  4. examination of an AICD
    By alices in forum Cardiology
    Replies: 1
    Last Post: 03-24-2012, 05:39 AM
  5. E/M examination
    By Ranganathan in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-19-2011, 10:14 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.