I am having push back from a provider that believes I am coding "too high" and that with the new guidelines, what was a 99214 is often now a 99213. example, patient presents with vaginal discharge. pertinent social & medical history done, weight, bp and pelvic exam done. provider does a wet mount and reviews the slide. diagnoses BV (N76.0) and gives rx for metrogel. Depending on social history, may order chlamydia and GC testing, sample collected and sent out.
I believe this is still a 99214 but provider thinks in both cases (with or without the std screening) it is a 99213. what is your vote?
I believe this is still a 99214 but provider thinks in both cases (with or without the std screening) it is a 99213. what is your vote?