tci E/M Coding Alert - 2021 Issue Q4

You Be the Coder: Don’t Upcode This Injury Follow-Up Visit

Question: How should I code this follow-up visit? A patient returned to our pediatrician after injuring her left shoulder. Our pediatrician reviewed the patient’s magnetic resonance imaging (MRI) scan that had already been ordered, ordered physical therapy, and prescribed a refill on an anti-inflammatory. Can I bill this as a 99214 based on a unique test (the MRI) and prescription drug management? AAPC Forum Participant Answer: The medical decision making (MDM) level to this encounter probably doesn’t rise to a level four office/ outpatient evaluation and management (E/M) visit. Here’s why. Prescription drug management in this...

To read the full article, sign in and subscribe to tci E/M Coding Alert.


Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci E/M Coding Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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