Results 1 to 3 of 3

Help - type of exam

  1. #1
    Default Help - type of exam
    Medical Coding Books
    pt comes in for eval for a scooter.....What type of exam should be documented ?
    If dx codes used 7245 ...what would be the MDM?

  2. #2
    Default scooter
    Your exam would be whatever level of E/M the documentation supports, based on HPI, exam, and MDM. Depending on the amount of data reviewed by the provider, and whether or not there is an acute exacerbation of pain, your MDM will most likely fall in the low to moderate range. Again, review your documentation. If your office policy permits it, you may take information from the forms that are required to be filled out as well as the provider's dictation. In addition to the E/M, bill G0327, Physician service required to establish and document the need for a power mobility device, on the same claim (I'm assuming, of course that the patient is covered by Medicare.) You may want to check the CMS website to make sure that the provider has documented all of the information required to support this code.

  3. Default Medicare coverage criteria for MAE
    Medicare Coverage Criteria for MAE (MAE=Mobility assistive equipment)

    Coverage & Documentation requirements for PMD (power mobility device)
    Clinical coverage for MAE coverage +
    Physician and Treating Practitioner requirements are best explained in CMS manual

    (Pls note: typo G0327-It is G0372)
    Last edited by msrd_081002; 01-29-2011 at 07:59 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.