Wiki billing split ob visits audit

[Jamiemrph485]

When billing out ob visits individually, for a patient who is having no problems with her pregnancy I am auditing the visit has 1 dx with 1 for the data reviewed for a urine dip, and then for the level of risk I don't feel like pregnancy is a self limited or minor problem so I feel like it would be low. So this would make the MDM a straightforward but my Physicians are adamant these should be a 99213. Any advice?

 

[gena379]

It depends on the documentation but for a straight forward, no complications pregnancy, seems like it would be a 99212. Everything is totally straight forward. Established problem, stable is only 1 pt and then the risk table... I usually put pregnancy under the low "acute injury or illness" even though it's not an illness, it's definitely not a minor/self limited problem. The risk table is just examples, we use our judgement to place things that aren't directly written on there.

The only way, to me, to get that to a 99213 is if she had something else like yeast ...

I agree that the total MDM is SF not Low.

gena