daphneb0226
New
I code for a walk-in clinic and we have an NP who feels that the E/M code should be a 99213 when she sees (for example) an established patient that presents with foot pain. The NP will order an x-ray which shows no abnormality; no additional work-up is performed and the documentation just states "reviewed". I feel that a 99213 is a stretch considering the limited amount of documentation. Additional thoughts and advice is greatly appreciated!