Pediatric Coding Alert
Only Bill E/M If One Was Provided
Question: New Hampshire Subscriber Answer: You cannot report 99212 since the medical assistant cannot report that code and no physician saw the patient face-to-face during your visit. If your state law allows it and has communicated that to you in writing, 99211 is an option to report with 90473, since the MA did go over the questionnaire with the patient. Keep in mind that 99211 must be supported by a medically necessary E/M service and will required you to append modifier 25 (you'd bill 90473, 99211-25). You should report V04.81 (Need for prophylactic vaccination and inoculation against influenza) as the diagnosis code.
Pediatric Coding Alert
- CPT® 2013:
New Pediatric Transport Codes Will Help Ease Your Coding Stress
Plus: Changes throughout CPT's E/M section bring non-physicians to the forefront. If your pediatrician aims [...] - E/M Coding:
Answer These 3 Quick Test Questions to Evaluate Your E/M Knowledge
Test your skills with these questions to see where you should focus your E/M education.Evaluation [...] - Quick Quiz Answers:
Evaluate Your Own E/M Coding Skills With 3 Test Answers
See where you should focus your E/M education.Answer 1: Yes. Based on E/M guidelines, if [...] - ICD-10:
Acute Laryngitis Remains Easy Coding With J04.0 in ICD-10
Look how many conditions the code will represent when ICD-10 goes into effect. Diagnosis coding [...] - Reader Question:
'Case Management' Can Be Coded Various Ways
Question: Does CPT® include any procedure codes for case management, phone calls to patients, filling [...] - You Be the Coder:
Unnecessary Lab Test Probably Won't Be Payable
Question: We have a patient who did not have a urinalysis done at his previous [...] - Reader Question:
Avoid Assigning 'Probable' Dx
Question: I've read in previous issues of Pediatric Coding Alert that if the treating physician [...] - Reader Question:
CCI Bundles Cerumen Removal With Injection
Question: Has injection administration (96372) always been bundled with 69210? I just received a rejection [...] - Reader Question:
Only Bill E/M If One Was Provided
Question: This is the first year we are considering providing FluMist without a physician visit. [...] - Reader Question:
Ask Physicians How to Count 'Supple Neck'
Question: When my pediatrician writes "Neck is supple," should I count the phrase as part [...] - Reader Question:
Take This 'No Man's Land' Coding Advice
Question: A mother brought her daughter for a well child check-up, although she didn't have [...]
