amexnikki23
Guest
Our office has been going back and forth on the coding of sick visits along with CPE for some time now. While we've finally come to the agreement that our providers generally should NOT charging an EM for conditions found on exam or lab results, we cannot seem to agree on the rationale for coding a sick EM service just because the patient has a chronic illness that needs refilling of prescriptions or even labs ordered as the result of that established chronic condition maybe being deemed to be worsening. Example below:
Patient is seen for annual CPE. Has 2 chronic conditions: hyperlipidemia and hypertension.
HPI states "patient here for CPE and although has hyperlipidemia and hypertension, states is doing well w/no complaints."
Provider does full exam as part of the CPE and then orders a refill of 2 medications that the patient is already on for his 2 chronic conditions.
Provider charged for a CPE, as well as a 99213. Your thoughts?
Patient is seen for annual CPE. Has 2 chronic conditions: hyperlipidemia and hypertension.
HPI states "patient here for CPE and although has hyperlipidemia and hypertension, states is doing well w/no complaints."
Provider does full exam as part of the CPE and then orders a refill of 2 medications that the patient is already on for his 2 chronic conditions.
Provider charged for a CPE, as well as a 99213. Your thoughts?
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