We bill a preventative exam with an e/m service and reduce the approved amount of the e/m from the preventative exam. I have found that for new patients the documentation does not always support two services. I think that is the key. What idoes the documentation show. A level 99203 and 99204 requires the same or more work then some of our physical forms so why would we code both? That would be double dipping. It is case by case and educating the providers is the key. It would make more sense to code 99212 or 99213 which requires less. Coding two new patient services would be incorrect I agree.
Wendy RHIT,CCS-P, CPC
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