meghanduggan
Contributor
I have a doctor who has been trying to submit 99214 e/m patient was seen via telehealth for 11 minutes.
the cms guidelines I found state flat out that just LISTING the medications the patient is taking is not sufficient enough to warrant an e/m code. The patient takes over 20 medications. Aside from the list of the medications, the doses and the means of taking the medications the only note I can find from the provider is this. I don't feel that this is enough to warrant such a high e/m. Does anyone have any good guidelines or blogs I can read on this?
(F33.1), Chronic Moderate
Impression - working diagnosis; bipolar d/o vs personality disorder complicating unipolar depression;. Differential Diagnosis - add, bipolar
Borderline personality disorder (F60.3), Chronic
Impression - included in differential diagnosis; has responded well to medications so far; will continue to move forward with medication mgment and addressing potential ddx as well as barriers to improvement as they develop.
(F40.01), Chronic Moderate
Impression - stablization of symptoms; pt does not feel the need for med adjustment at this time.
the cms guidelines I found state flat out that just LISTING the medications the patient is taking is not sufficient enough to warrant an e/m code. The patient takes over 20 medications. Aside from the list of the medications, the doses and the means of taking the medications the only note I can find from the provider is this. I don't feel that this is enough to warrant such a high e/m. Does anyone have any good guidelines or blogs I can read on this?
(F33.1), Chronic Moderate
Impression - working diagnosis; bipolar d/o vs personality disorder complicating unipolar depression;. Differential Diagnosis - add, bipolar
Borderline personality disorder (F60.3), Chronic
Impression - included in differential diagnosis; has responded well to medications so far; will continue to move forward with medication mgment and addressing potential ddx as well as barriers to improvement as they develop.
(F40.01), Chronic Moderate
Impression - stablization of symptoms; pt does not feel the need for med adjustment at this time.