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    Wiki Guidance needed for coding scenario

    Thank you. I apologize if my questions are numerous and repetitive. I was doing billing for several years, just took on a big coding position and am probably overthinking the scenarios. Sometimes it helps to ask questions and get a very basic 'dumbed down" answer to help cut through the...
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    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...
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    Wiki Deciding on 99213 over 99212

    Would I still be able to list the CPTs for the tests performed on the claim? I have read some threads that state if you are using the tests to count towards office visit you cannot list separately? Is that correct? For instance in this claim I asked about it would be 99213 , 87426, 87804.
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    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...
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    Wiki Deciding on 99213 over 99212

    That is great information. Thank you. I have a provider who consistently codes 99212 even though one - three tests were ordered and resulted in the progress note. example Acute uncomplicated illness (sore throat, pain with swallowing, pain in ears) CPT codes 99212, 87426 and 87804, 87880. All...
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    Wiki Deciding on 99213 over 99212

    Thank you for your response. Would this also be true for two tests (flu and covid)? Also, what if the time requirement is not met? Do you need both the MDM and the time of 20-29 mins to be able to bill for this code?
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    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.
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    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...
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