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Thread: E/M question

  1. #1

    Default E/M question

    New patient, detailed HPI, Exam was deffered, Low MDM. No time was documented.
    All 3 components are not meant, would I ask the physician for a time spent with pt.

    Jeanne
    cpc

  2. #2
    Join Date
    Apr 2007
    Location
    Columbia, MO
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    Default

    Why was exam deferred? Do you have vital signs and mood and affect at least? If so then it is a 99201

    Debra A. Mitchell, MSPH, CPC-H

  3. #3

    Default

    I can't answer why exam was deffered, our OB puts that down a lot on his patients.
    Thanks for the quick response.

    Jeanne

  4. #4
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,020

    Default

    2017 ICD-10-CM Coding Book
    Is it just the pelvic that was deferred? What all is documented?

    Debra A. Mitchell, MSPH, CPC-H

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