Wiki Level of service question??

l1ttle_0ne

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Our doctor saw a patient for follow up of his melanoma's, he was going over CT/PET scan results with him. He is an established patient, and our doctor wants to bill a 99213 for this. This seems high for the lack of dictation. What level would you code this as?


S: F/u on PET/CT. No new symptoms, tumor staying stable


O: PET shows left axillary node and lesion palpable in left posterior neck


A: Stable recurrent disease


P: Patient will probably want these lesions resected, without a complete axillary dissection. He is going to think further on things, and will get back to me.
 
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