Results 1 to 3 of 3

Dealing with Peds E/M

  1. #1
    Default Dealing with Peds E/M
    Clearnace Sale
    Seeking guidance, Does this sound right. Auditing a physicians notes. The note reads to me, a 12yr old with new prob. Pharyngitis. No HPI, but we have Exam on TM. Documented with some detail. And lungs, also documented with some detail. With a prescription of Keflex. Does this qualify for a level four. Keep in mind this is an Establish patient.

    So we got: Establish Patient
    2 detailed body areas examined
    New Prob
    Prescription Drug given.

    Using the 1995 guidelines, do we come up with a level four.
    Need input.


  2. #2
    in the Er as long as you have an HPI Ros and Exam your covered but the risk is low here so a level 3 for giving the persription or if he did x-ray but if his temp was above 104 then you can give a level 4 or IV anything was givin

  3. #3
    from what you stated i came out with a level 3 too.
    mdm is level 4 but exam is level 3 history was a level 2. so to meet 2/3 it would be a 3
    good luck.

Similar Threads

  1. Dealing with a Provider who questions your ability?
    By dcrossman in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 09-21-2012, 11:29 AM
  2. Replies: 1
    Last Post: 05-07-2012, 01:12 PM
  3. Dealing with ob verification
    Replies: 2
    Last Post: 06-25-2009, 10:10 AM
  4. Need help with anyone dealing with wound care to help
    By twtcpc in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 08-01-2008, 02:05 PM
  5. E/M, Peds
    By daniel in forum Family Practice
    Replies: 3
    Last Post: 04-13-2008, 09:11 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.