tci Part B Insider - 2012 Issue 31

Reader Question: Don't Code 'Suspected' Abuse

Question: A patient presented at our office with a bruise. The physician examined the patient and sent her immediately to the ER. How do we bill the office visit code? Also, which diagnosis should we report for suspected domestic abuse? Michigan subscriberAnswer: The answer to your first question depends on whether the physician saw the patient in the emergency room. Assuming your physician only saw the patient at your office, then you should bill a standard office visit code (99201-99215). However, if the doctor went to the hospital to see the patient as an inpatient the same day, report...

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