EMcoder13
Contributor
I have a pediatric provider in our practice that will charge a 99215 for just about every ADD or ADHD med rechecks for children under 18 years old. Face-to-Face time: 10-15 minutes. These patients come in at least 4 times a year or more. (The other providers usually charge a 99213).
Does anyone know what is pertinant for the Review of Systems and Exam for an ADHD patient that is doing good or improving. He does a complete history, complete ROS and complete Exam of every organ system every time the patient comes in.
I have tried to do some research on the internet and coding books, but can't come up with any guidelines. Some articles state that if it is a medication refill it should be 90862 (medication management) and some state the exam should only include constituitional for weight gain/loss, neurologic, and psychiatric.
Any comments or documentation supporting this either way would be appreciated.
Does anyone know what is pertinant for the Review of Systems and Exam for an ADHD patient that is doing good or improving. He does a complete history, complete ROS and complete Exam of every organ system every time the patient comes in.
I have tried to do some research on the internet and coding books, but can't come up with any guidelines. Some articles state that if it is a medication refill it should be 90862 (medication management) and some state the exam should only include constituitional for weight gain/loss, neurologic, and psychiatric.
Any comments or documentation supporting this either way would be appreciated.