tci E/M Coding Alert - 2017 Issue 7

Reader Question: Medical Necessity Key to Reporting 99212

Question: A patient came in for a flu shot. Can I report an office visit code (such as 99212) or should I just report 90658 and 90471? Pennsylvania Subscriber Answer: No. Based upon the given information, simply administering an injection, such as a flu shot, does not warrant reporting an evaluation and management (E/M) code like 99212 (Office or other outpatient visitfor the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making …) In your case, you...

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

free demo
request yours today
pricing
for any budget
sign IN
welcome back!