tci Part B Insider - 2013 Issue 37

E/M Coding: The Problem in This E/M Note Cost This Practice Over $65

Know what you can’t miss when billing new patient visits. Most medical practices are aware of the fact that new patient coding differs dramatically from established patient coding. But the nuances can be hard to detect when you’re in the coder’s chair. Check out the following E/M note and determine what the physician did right, and what he could have improved upon. Code reported: 99201 Chief complaint: Left shoulder pain. HPI: This 66-year-old female patient complains of left aching, sharp shoulder pain that has been of moderate severity for the past four weeks. It is most...

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