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Pulmonology Coding Alert

You Be the Coder:

Does This Warrant 99204?

Published on Mon Sep 17, 2018

Question: A new patient presented to our office. Our pulmonologist documented an extended history of present illness (HPI) and conducted a complete review of systems (ROS). The resulting diagnosis was of a moderate complexity and involved data management. Other than the provider taking the patient’s vitals, there was no physical exam. What evaluation and management (E/M) level can I document [...]
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