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Please help!!!!!!

  1. #1
    Default Please help!!!!!!
    Clearnace Sale

    I am having an issue with levels of E/M codes.

    What would you code if this was the presenting documentation:

    11 y/o, temp 98.9, wt 146, ht 58in.
    Problem- pt with redness and matter x 2days of the eyes, no temp (written by nurse)

    Physician doc normal- gen aspect, head, ears, nose, throat, neck, skin, heart, lungs, abdomen, etremities, hips, neuro, and developmental. He documents abnormal eyes- bilat eye redness.

    Diagnoses given- conjunctivitis and URI

    Treatment- vigamox and rondec DM

    Next visit:
    temp 96.8, c/o runny nose since last night, per mom temp last night but not taken (written by nurse)

    MD writes normal exam as above except the abnormal is nose-mucus.

    Dx is URI

    Plan- rondec DM and motrin.

    Please let me know what you would code for these two visits.

    Thank you,


  2. #2
    Its all depends on the amount of time spent with patient. I would bill at least 3rd level : 99203 for new patient visit and 99213 for established visit.

  3. #3
    Milwaukee WI
    Default Duplicate
    You posted question in another forum ... E/M ?

    Anyway I answered there ... far too complicated to repeat here.

    But definitely NOT new patient codes ... wouldn't meet standard for even 99201.

    F Tessa Bartels, CPC, CEMC

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