Conseling/Coordination
Just a thought ...
If your physician is spending any length of time speaking w/ patient and parents about the course of chemo being undertaken - risks, benefits, side effects, etc ... you might be wise to advise them to bill based on time.
The note should include:
Total time spent with the patient (and family)
Amount of time spent in counseling /coordination of care (must be >50% of total)
Substance of the C/C.
For example: I spent 50 minutes with Johnny and his parents. 25 minutes of this time was spent in counseling/coordination of care, discussing the recommended course of chemotherapy, potential risks and benefits, hoped-for outcomes, possible side effects.
This would qualify for a 99222 without any exam or HPI.
99221 - 30 minutes
99222 - 50 minutes
99223 - 70 minutes
F Tessa Bartels, CPC, CEMC