Results 1 to 3 of 3

99213??

  1. #1
    Default 99213??
    Exam Training Packages
    I WOULD LIKE TO GET A SECOND OPINION ON THIS DOCUMENTATION PLEASE:

    Chief Complaint
    rt index finger red and swollen, no fever. started as a small pimple 5 days ago. got much worse in past 24 hours.pt had mrsa of chin july,2009.
    family-sib had mrsa infection june 2010

    Vital Signs
    AGE 18y4.2m
    TEMPERATURE 97.7 F
    BLOOD PRESSURE 118/68 L Arm
    WEIGHT 173.4 lb
    WEIGHT (%) 94

    Interval History
    Illness/Injury since last visit? N
    Specialty appointment since last visit? N
    Hospitalization, Surgery, ER, Urgent visit since last visit? N
    Other
    had MRSA july 2009.of chin and was hosp at tufts.
    Social History
    Household changes? N
    Smokers in environment? Y
    patient
    Pets in environment? Y
    1 cat
    TB Risk Status? Low
    Education Attends school
    umass lowell
    Physical Exam
    General Appearance
    WDWN, NAD
    Skin
    abcess R index finger with sl purulent drainage between first and 2nd mp jts. . decr rom. swelling , erythema + . no axillary glands.
    Assessment and Plan
    Assesment
    abscess R index finger-? mrsa
    Plan:
    bactrim ds bid
    warm soaks, elevate.
    rto tomorrow.if not improving will admit for iv therapy. THANKS!!

  2. #2
    Location
    Salt Lake North
    Posts
    637
    Default I think you have a 99213
    HPI Four
    ROS One (EFP HX)

    Exam
    97-PF Four bullets
    95-EPF (Three Systems)

    Three Problem points, no date points, low risk = Low MDM

    Even if your exam were PF it would still meet 2/3 for a 99213.

  3. #3
    Location
    Daytona Beach, FL
    Posts
    746
    Default
    I think this is a 99214 -

    HPI -4 = Detailed
    ROS -2 (skin and constitutional) = Detailed
    PFSH -2

    Exam - 95 guidelines - 3 areas = EPF

    MDM - would be Moderate - the doctor issued an RX so risk is moderate , Problem would be 3 for new problem and no data points.

    Established patient - 2/3 elements would be Detailed History, EPF Exam and Moderate Complexity for MDM = 99214
    Jodi Dibble, CPC

Similar Threads

  1. 99213?-It is Okey
    By veloso in forum E/M
    Replies: 2
    Last Post: 04-03-2012, 11:31 AM
  2. 99213 with 99395
    By tford in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-28-2011, 12:02 PM
  3. Where does a 99213 come from?
    By nscoder in forum E/M
    Replies: 4
    Last Post: 02-11-2011, 09:11 AM
  4. 99213?
    By HBULLOCK in forum E/M
    Replies: 5
    Last Post: 09-20-2010, 01:10 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?

Login

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.