tci E/M Coding Alert - 2015 Issue 6

Reader Questions: Point Out Mandated Services With 32

Question: A 40-year-old male came into our office with a work-related back injury. His doctor put him in an acute therapy program but he continues to have pain, loss of strength, tires easily, and complains of stiffness. He is exhibiting difficulty in social surroundings and it may be difficult for him to return to work. The workers’ compensation provider requested a second opinion and prognosis by an orthopedic surgeon. The surgeon performed a comprehensive history and physical examination with moderate complexity decision making. What modifier do I need with 99244? Rhode Island Subscriber Answer: Because the workers’ compensation payer...

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