Results 1 to 3 of 3

Thread: E&M coding - help please!

  1. #1

    Question E&M coding - help please!

    Promo: Code Books
    --------------------------------------------------------------------------------

    I am trying to do my first E&M audit - one of my providers saw a new patient to establish and he did an office note which states NEW PATIENT HERE TO ESTABLISH...........
    He did a short history.......
    He also stated - "Pap not due until July - come in then"
    and
    he did speak with her regarding conception plans, LMP, vitals and BMI - this is all documented with an office note.
    He also no charged her since he did not do a full exam....my questions is - when she comes back in is she now established or new?

    Thanks!

  2. #2

    Default

    I think she should be charged because he saw her and he did do somewhat of an exam. I would collect all the data (HPI, Exam, and MDM) that he has and do an e/m level. And that way she would be established when she came back in. But I think the bottom line is that he did see tha pt. Hope this helps!

    Jessica Harrell, CPC

  3. #3

    Wink ShawnS

    I agree she should be charged. Even if the physician did not do a complete exam, he should be able to charge by time, providing he recorded the amount of time spent with the patient. Then when the patient comes back in she is not considered a new patient.

    However, I have had situations like this that put the coder in a sticky spot as to whether the patient is new or established. If the physician insist on not charging her for the first visit, I think you really should still consider her an established patient when she returns.

    Good luck!

Similar Threads

  1. Icd 9 coding & E&M Coding help
    By bdgonzwil in forum OB/GYN
    Replies: 1
    Last Post: 06-01-2014, 09:33 AM
  2. ICD9 allowable coding for 93880 & 83882 & 93875
    By twinger in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-14-2014, 01:09 PM
  3. Tetanus Toxid & E & M Coding
    By martyzal in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 07-07-2010, 08:22 AM
  4. Please help coding EGD,BX & Cold Bx & Polyp
    By Hopp in forum Gastroenterology
    Replies: 1
    Last Post: 04-14-2010, 03:39 PM
  5. E&M coding technical & professional component
    By Karin Brown in forum E/M
    Replies: 2
    Last Post: 04-13-2010, 12:14 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.