lindseykelly3191
New
- Messages
- 5
- Best answers
- 0
New patient comes in to establish care with practice, new patient also has a new problem requiring work.
How do you code it? Coding Intel & AMA both state you can bill both New patient visit codes but they might not both be reimbursed. Of course documentation needs to support an additional E/M code.
Example: 20 year old male presents to establish care with physician. Recently had eye exam wnl, seen by dental regularly, type 2 dm stable on metformin.
Complaints today consist of arm pain for 3 weeks with no known injury.
ROS: denies other than stated above
Exam: Right arm pain on palpation
A&P:
Z00.01- routine labs run for baseline of pt
M79.601- x-ray of rt arm with 800mg ibuprofen prescribed
E11.9- stable, cont on metformin.
Would you code this
99385
99203-25 ?
if yes, why, if no, why?
Thanks!
How do you code it? Coding Intel & AMA both state you can bill both New patient visit codes but they might not both be reimbursed. Of course documentation needs to support an additional E/M code.
Example: 20 year old male presents to establish care with physician. Recently had eye exam wnl, seen by dental regularly, type 2 dm stable on metformin.
Complaints today consist of arm pain for 3 weeks with no known injury.
ROS: denies other than stated above
Exam: Right arm pain on palpation
A&P:
Z00.01- routine labs run for baseline of pt
M79.601- x-ray of rt arm with 800mg ibuprofen prescribed
E11.9- stable, cont on metformin.
Would you code this
99385
99203-25 ?
if yes, why, if no, why?
Thanks!