tci E/M Coding Alert - 2021 Issue Q3

You Be the Coder: Try This Coding Sequence for Acid Reflux Encounter

Question: A primary care physician referred a patient with severe heartburn to one of our gastroenterologists. The doctor examined the patient, conducted an esophageal motility study, and administered an acid reflux test using the Bravo pH Monitoring System. In what order should I report these codes to ensure maximum ethical reimbursement? Texas Subscriber Answer: Coding for acid reflux exams is tricky because it involves crucial questions about date of service that need to be addressed specifically and correctly. And reporting a consultation on top of that makes this quite a coding challenge. You should report the esophageal motility study...

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