kathymoon
Guest
I need a second opinion. 99203 or 99204? Gastroenterologist see patient referred by PCP. HPI covers duration, timing, signs and symptoms and quality. Diagnoses include dyspepsia, rectal bleeding, and diarrhea. Complete review of symptoms and all components of PFSH.
1. = Comprehensive History.
2. Comprehensive physical exam documented
Physician orders a diagnostic EGD and a diagnostic colonoscopy.
To me this is a 99204. Multiple new problems to this physician with additional workup (endos) and ordering diagnostic endoscopies (no identified risk factors).
Second scenario, he is not ordering endoscopies but is ordering CT scans or Barium enemas. Still 99204?
He wants to continually code 99203, have explained the difference and he still codes them 99203. Am I right that these should be 99204? Thanks.
1. = Comprehensive History.
2. Comprehensive physical exam documented
Physician orders a diagnostic EGD and a diagnostic colonoscopy.
To me this is a 99204. Multiple new problems to this physician with additional workup (endos) and ordering diagnostic endoscopies (no identified risk factors).
Second scenario, he is not ordering endoscopies but is ordering CT scans or Barium enemas. Still 99204?
He wants to continually code 99203, have explained the difference and he still codes them 99203. Am I right that these should be 99204? Thanks.