tci E/M Coding Alert - 2014 Issue 7

Reader Question: Skip 99397 for Medicare

Question: We have a 70-year-old patient that came in for a reevaluation and management as she does on occasion. When I submitted 99397, Medicare denied the claim. How can we get paid for this?  Maine Subscriber Answer: If there is a chronic condition that the physician is addressing, the appropriate code choice would come from the established patient visit range (99211-99215 Office or other outpatient visit for the evaluation and management of an established patient, …), based on the documented history, exam, and medical decision making.  Code 99397 (Periodic comprehensive preventive medicine reevaluation and management of...

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!