You Be the Coder:
Try to Get More Info on ‘Trigem. Nerve Disorder’ Note
Published on Tue May 04, 2021
Question: I have an operative report in front of me that is a bit confusing. Notes indicate that the provider performed an outpatient evaluation and management (E/M) service for an established patient. Total encounter time was 43 minutes, and the encounter involved the provider performing moderate medical decision making (MDM). Final diagnosis was ‘trigem. Nerve disorder.’ How should I code [...]