initial encounter

  1. P

    Wiki Diagnosis not documented on DOS

    We are doing profee billing for hospital care services. For the initial hospital care (99221-99223) visit documentation states that patient came into the hospital and was found to have an Acute Kidney Injury secondary to Rhabdomyolysis. Coders reported N17.9 (AKI) for this encounter, not...
  2. H

    Wiki Initial vs Subsequent Visit

    Patient banged leg and skinned it resulting in edema and shallow wounds. They may have visited another hospital/office (unclear in documentation) and kept a dressing on the leg, using hydrogen peroxide to clean it daily. However, the wounds have failed to progress and therefore was seen by their...
  3. Z

    Wiki Physical therapy insurances that only pay for evaluation on first visit

    I'm having a hard time trying to find information about which insurances will only pay for the evaluation code for the patient's first visit with physical therapy. Does anyone know what the insurances are or where I can find that information? Thank you!
  4. M

    Wiki Initial vs. subsequent encounter

    Sometimes we see patients from the ER for follow-up wound care. For example a patient got stitches and bandages at the ER for an arm laceration, then was seen by us a few days later for a wound check and bandage change. Is this a subsequent encounter since the patient initially got care at the...
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