99213 Established patient visit

by  Codapedia
July 28th, 2016

There are sample audited notes in resource section.

99213 is an established patient visit which requires 2 of 3 of the following components:


An expanded, problem focused history, which is 1-3 HPI elements and 1 system in ROS reviewed 
An expanded, problem focused exam, which is 6 bullets from 1997 exam or limited exam of 2-7 body areas/organ systems.  Some payers and auditors use 2-4 body areas/organ systems as an expanded problem focused exams, but this is not in the original guidelines.
Low MDM, which could be one worsening problem, two stable problems or a new, acute uncomplicated illness.  These are only examples, there are many ways to reach low MDM.

See the other articles in Codapedia on auditing and the Documentation Guidelines

Resources: Sample, audited 99213 notes (pdf)  

References:

99213 Established patient visit. (2016, July 28). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/99213-established-patient-visit-28106.html

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)


Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


contact

innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Email:
free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.