Results 1 to 2 of 2


  1. #1
    Question 99215???
    Medical Coding Books
    We have a patient who came in for birth control selection who also has abd pain, dizziness, and sti exposure. When checking the documentation i don't believe the mdm is high though dr wants to code 99215 since she spent 1 hour and 10 min with patient. I think i should charge 99214 w/99354 (prolonged serv). Any thoughts??? Thanks

  2. #2
    Default Time
    The only way the MD could code based solely on time is if the more than 50% of the encounter was spent "counseling and/or coordinating care". The documentation must reflect the total time spent and the duration and content of the counseling proving that it was more than 50%. Otherwise, yes, you'd have to go to the prolonged services codes in addition to the E/M.

Similar Threads

  1. is this 99215
    By perkins05 in forum E/M
    Replies: 6
    Last Post: 02-13-2012, 12:24 PM
  2. 99215?
    By lynnmc79 in forum E/M
    Replies: 1
    Last Post: 09-28-2010, 09:39 AM
  3. 99215
    By puggles in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-22-2010, 07:46 AM
  4. 99215 ???
    By djnall in forum E/M
    Replies: 2
    Last Post: 07-08-2010, 08:53 AM
  5. Sent to ER...99215?
    By chetubig001 in forum Auditing General Discussion
    Replies: 2
    Last Post: 03-16-2010, 10:04 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.