tci Part B Insider - 2010 Issue 23

Reader Questions: Be Confident in Coding for Teaching Physicians

Question: A resident in our office sees a new patient complaining of heartburn. The resident conducts an expanded problem-focused history and exam and prescribes some antacids. All of this is documented in the resident's progress note. The gastroenterologist, who is working as a "teaching physician," also evaluates the patient, performs an exam, and consults with the patient on his condition. How should I report this encounter?Answer: On the claim, you should report 99202 (Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components: an expanded problem-focused history...

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