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Thread: problem visit with prevent med

  1. #1
    Join Date
    Apr 2007

    Default problem visit with prevent med

    AAPC: Back to School
    Hi everyone:

    We are of the thinking that a "problem visit" (99201-99215) should not be billed out along with a prevent med code (99381-99397) unless it is a new, acute problem that requires significant, additional work.

    However, I have a family practice physician that spends a lot of time (1+ hours) on things like obesity, asthma, depression, etc.

    Is there any way to capture this time spent? Would it be appropriate to charge a 9921x (depending upon time documentation) for these chronic/risk prevention concerns?

    Thanks for any input

  2. #2
    Join Date
    Apr 2007
    New Delhi, India


    Use of problem visit codes is not restricted to new/acute conditions while coded with preventive visit. It can be any dx - acute or chronic. The only thought to ponder up on is it must have separately identifiable elements with a separate dx code and coded with modifier 25.

    Girish Dadhich, CPC

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