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Primary Care Coding Alert

READER QUESTIONS :

V Means Victory on 'No Injury' Claims

Published on Fri Jan 01, 2010

Question: A 68-year-old established Medicare patient reports to the office for a visit stemming from a recent auto accident he was in; he ran off the side of the road at low speed, then overcompensated when returning to the road and hit another car. The patient reports no outward symptoms, but "wanted to get checked out just to be safe." A qualified nonphysician practitioner (NPP) performs a problem focused history and exam but finds nothing wrong with the patient. How should I code for this service, being that there is no clear diagnosis? Michigan Subscriber Answer: There's a V code that will prove medical necessity for this visit. On the claim, report the following: • 99212 (Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a problem focused history; a problem focused examination; straightforward medical [...]
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