Results 1 to 1 of 1

Help!! How would you code this visit??

  1. Default Help!! How would you code this visit??
    New Call-to-action
    Patient here for pre-op H&P for clearance of her HTN before she has excision of a ft foot Haglund deformity secondary to pain. She is also here for her annual exam and pap smear. Patient seen by PA.
    Was here on 9/24 w/compliant of severe fatigue & crying all the time. She had been on prozac for a few yrs for depression but stopped it thinking that maybe that was causing her fatigue. When she came in she was very tearful. I checked her thyroid and her TSH was a little elevated but her free T4 was normal. Due to her symptoms I started on L-Thyroxine 25mg & Sertraline 25 mg daily. She said she is feeling much better and not tearful all the time but still some fatigue.
    A complete PFSH was dictated and a complete ROS was dictated.Also a comprehensive exam was done. EKG was obtained and over-read by a physician. Shows sinus rhythm with no acute changes.
    Pre-op H&P for excision of rt foot Haglunds deformity
    HTN controlled
    Morbid obesity
    Hypothyroidism, started on supplement
    PLAN: Will schedule now for a CBC,BMP and fasting lipid. UA was done and negative. She is schedule for her mammogram. I refilled her ALdomet for 1 yr and increased her Sertraline up to 50mg w/refills for 1 yr. She is to call me in couple of months and let me know how she is doing on that dose of Sertaline. Will check thyroids again in November.

    breast & pelvic exam
    Depression, stable.
    THe PA was wanting to bill a 99215. I just don't think this is correct. Please advise. Thanks.
    Last edited by mrolf; 10-11-2010 at 07:27 AM. Reason: Add more text

Similar Threads

  1. How would you code this visit?
    By 1073358 in forum Behavioral Health
    Replies: 1
    Last Post: 05-12-2014, 11:08 AM
  2. Home visit and office visit same day, how do I code
    By nelstx2 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-27-2013, 02:31 PM
  3. How would you code this visit?
    By mrolf in forum E/M
    Replies: 11
    Last Post: 06-09-2010, 10:55 AM
  4. how would you code this visit
    By mrolf in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 04-29-2010, 02:33 PM
  5. Replies: 2
    Last Post: 04-25-2010, 09:50 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.