AAPC - Back to school
Results 1 to 2 of 2

Thread: Deferred Exam

  1. #1

    Default Deferred Exam

    AAPC: Back to School
    I ran across an E/M service where all the elements met level 3 except for the exam. There were 5 "bullets" and the rest of the exam was deferred due to the patient's condition (on oxygen, advanced COPD, trouble with ambulation). Can I still code this as a level 3 visit? I have in the back of my head that a deferred exam does not throw off the entire e/m level, but I cannot find the exact reference. Does anyone know how to set me straight?


  2. #2
    Join Date
    Apr 2007
    Duluth, Minnesota


    If this is for physician office coding - Level three, only 2 of 3 elements need to be met so if you have at minimum an EPF HISTORY and LOW MDM - and no EXAM, it still meets requirements for a level 3 ESTABLISHED patient 99213; however, for NEW patient Level 3 - you'd need to have ALL THREE elements, those being; DET HISTORY - DET EXAM - LOW MDM to equal a 99203 new patient level 3.
    oops, forgot to add - reference to this is right in the front of the CPT manuals, under the Evaluation and Management area - it'll tell you what's needed for each level.

Similar Threads

  1. Exam Deferred by Patient
    By chasarmil in forum E/M
    Replies: 1
    Last Post: 07-06-2012, 11:28 AM
  2. Physical Exam Deferred
    By Rajesh Kumar J in forum E/M
    Replies: 3
    Last Post: 02-18-2011, 03:40 PM
  3. Replies: 1
    Last Post: 07-29-2009, 10:29 PM
  4. Deferred Exam
    By NFBarner in forum E/M
    Replies: 5
    Last Post: 07-02-2009, 01:06 PM
  5. vaccine request/deferred exam
    By MICHELLE1279 in forum E/M
    Replies: 2
    Last Post: 07-03-2008, 02:27 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.