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uti help

  1. #1
    Angry uti help
    Medical Coding Books
    cc : blood in urine
    vitals done
    urinalysis done
    rx given

    can an E/M level be gotten from this


  2. #2
    Evansville Indiana
    Default Uti
    did the doctor see the patient face to face?

  3. #3
    Yes but he does not document much.

  4. #4
    Milwaukee WI
    Default 99211
    This documentation equals a 99211 visit. YES, a physician can use this code (even though people persist in calling it a "nurse visit").

    But you really need to educate this physician about how much money s/he is leaving on the table. RX given and probably a new problem would equal a moderate level of MDM. But to get to a even a level 3 established visit, the documentation would need to have EITHER: an expanded problem focused history (1-3 elements of HPI plus problem pertinent ROS), OR an EPF exam.

    The difference is about $45 PER VISIT PER PATIENT SEEN! I see that you have several questions about this kind of documentation. If your doctor is seeing 2 patients per hour x 6 hours in a day (a VERY light schedule by the way) that's $540 per day of lost revenue. Your doctor needs a serious wake up call.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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