Search results

  1. H

    Wiki Guidance needed for coding scenario

    I started a new job as a medical coder for a practice that sees walk in patients. I am reviewing notes and prepping claims for billers and noticing the provider is entering the following: Diagnosis : J06.9, R05.9 and R09.81 CPT: 99212(E/M) , 87426 (COVID test) , 87804 (Flu test) My questions...
  2. H

    Wiki Physical Therapy Documentation for CPT 97110

    I am new to coding for Physical Therapy and would like some guidance or feedback on documentation. I have a PT who bills 97110 and 97140 typically. PT does document specific exercises performed during visit but does not state a start and end time. In some articles it does not talk specifically...
  3. H

    Wiki Medication Documentation in Progress Note

    If a provider sees a patient and prescribes medication does the medication name need to be documented specifically in the assessment/plan section or can it just say medication sent to pharmacy because it is listed in the medication section of the office note.
  4. H

    Wiki Deciding on 99213 over 99212

    Hello, I have a case where patient presents with cough, congestion, nasal congestion, shortness of breath and some pain swallowing. Provider orders three tests Covid, flu and strep. Assigned Acute respiratory respiratory infection J22, Cough R05.9, Nasal congestion R09.81 and Throat pain R07.0...
Top