tci E/M Coding Alert - 2015 Issue 4

Reader Question: Save 99318 for Annual Assessments

Question:Our physician met a patient in a nursing facility in March and then saw the patient again in June at the same nursing facility. During the June visit, she evaluated the patient for a new problem and documented a detailed history and examination with medical decision making (MDM) of low complexity. Should I report 99318? Florida Subscriber Answer: You need to understand the intent of the provider’s encounter with the patient to determine the correct coding.  Because the doctor saw the patient for a problem-oriented visit, rather than an annual assessment, 99318 (Evaluation and management of a...

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