tci E/M Coding Alert - 2018 Issue 9

You Be the Coder: Distinguish Dx, Document Double E/Ms

Question: We are billing an office visit for attention deficit hyperactivity disorder (ADHD), coded properly as a 99215. The provider is also billing 99402, which I am not in agreement with. The visit was strictly to manage the patient’s medications, provide mental health therapy, and discuss anxiety/depression. We typically use 99402 for lactation consultations for our newborns. I know you can bill both with a modifier, but I am stuck on the decision to code this as well. West Virginia Subscriber Answer: The answer to this question really depends on what your provider discussed with the patient during...

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