AAPC - Back to school
Results 1 to 3 of 3

Thread: Yearly pe

  1. #1
    Join Date
    Apr 2007

    Question Yearly pe

    AAPC: Back to School
    We have a patient who came in for his yearly physical. He happens to have multiple issues some chronic. He has mr, scoliosis, obesity, and hypotonia. My dr would like me to bill 99394 and 99214 because he addresses these issues but i don't think that is correct since he only checks the status of these and doesnt really do enough for an additional e/m. When patients have chronic illnesses that are being routinely followed shouldn't that be included in the yearly exam? Any thoughts?? Thanks :d

  2. #2


    The key is did he document significant separate work for any of these problems?

    For example, if he documented---- "mr-last echo 6 months ago; scoliosis, stable; obesity, increasing his exercise; hypotonia, managed by dr XXXX"---then that does not support the required significant separate work

    He has to show MDM of a problem. He has to show his work took time and resources. Not for all 4 but at least for 1

  3. #3
    Join Date
    Apr 2007

    Default Yearly pe

    Thats what i thought. He was just touching on all issues to be sure they were under control. There certainly wasn't significant separate work on them. Thanks alot! :d

Similar Threads

  1. Yearly Physical
    By agardner@gwdobgyn.com in forum OB/GYN
    Replies: 2
    Last Post: 05-07-2014, 04:23 PM
  2. Yearly exam
    By Scaldwell14 in forum Medicare Regulations
    Replies: 1
    Last Post: 07-12-2010, 10:23 AM
  3. yearly pe
    By lmjd in forum Pediatrics
    Replies: 2
    Last Post: 08-12-2008, 10:44 AM
  4. yearly physical plus pap
    By kimb in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 07-04-2008, 06:37 PM

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.