sasharea
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My MD's are seeing patients on the Inpatient Behavioral Health Unit. When they are assessing the patient for the 1st time (intake 99221-99223) They do a great job getting the CC and HPI. They don't always do a ROS, but they meet the physical exam and the medical decision making. They said they don't do a ROS because they do a psychiatric review of systems not a medical review of systems.
For this code set (99221-99223) we have to meet 3 of 3 elements for that code. would a psychiatric ROS count?
Can they bill off of time? 99221 (30 min) 99222 (50 min) 99223 (70 min)
Would they need to note % of time spent counseling/coordinating care? or what would be the proper verbage for this?
They really do note a book and I am sure they are meeting the time element, but not sure what to do about the ROS problem. They don't think it needs to be noted because they aren't following the medical issues
For this code set (99221-99223) we have to meet 3 of 3 elements for that code. would a psychiatric ROS count?
Can they bill off of time? 99221 (30 min) 99222 (50 min) 99223 (70 min)
Would they need to note % of time spent counseling/coordinating care? or what would be the proper verbage for this?
They really do note a book and I am sure they are meeting the time element, but not sure what to do about the ROS problem. They don't think it needs to be noted because they aren't following the medical issues
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