ahodge90
Networker
I am wanting to make sure that I understand how to properly level an e/m based off of the new e/m guidelines. I keep getting conflicting information on this and was hoping someone could help me make sense of what is right and wrong.
I have a case that I am currently working and was curious if I was on the right track.
The patient is an established patient to our clinic. New to this provider but not to our clinic. (We are a multi-specialty clinic)
The information on this note is pretty limited.
Exam is PF
There was an order for a knee x-ray and the provider reviewed this x-ray saying in the note that there is evidence of patellofemoral arthritis.
Dx is knee OA and the provider did an x-ray and did an steroid shot in the knee.
Provider then told patient to return for follow up in 3 months and told the patient that they may need to have a total knee replacement in the future.
Would I be wrong to say that this would qualify for a 99212-25 with 20610?
the conflicting information i am getting is that since we are billing for the x-ray and the injection, we cannot count for ordering the x-ray but we can count the review and the injection doesn't count towards the MDM. Is this correct?
I have a case that I am currently working and was curious if I was on the right track.
The patient is an established patient to our clinic. New to this provider but not to our clinic. (We are a multi-specialty clinic)
The information on this note is pretty limited.
Exam is PF
There was an order for a knee x-ray and the provider reviewed this x-ray saying in the note that there is evidence of patellofemoral arthritis.
Dx is knee OA and the provider did an x-ray and did an steroid shot in the knee.
Provider then told patient to return for follow up in 3 months and told the patient that they may need to have a total knee replacement in the future.
Would I be wrong to say that this would qualify for a 99212-25 with 20610?
the conflicting information i am getting is that since we are billing for the x-ray and the injection, we cannot count for ordering the x-ray but we can count the review and the injection doesn't count towards the MDM. Is this correct?