ssjogren
New
My husband went to the Dr. and I have questions regarding the coding because I am so close to this I wanted the opinion of others before I question the office.
Pt called up and requested physical examination due to being new in the area and needed to establish a PCP. Pt received bloodwork and full ROS Hx and Exam. During exam Dr. noted Post nasal drip and deviated septum. (Both present since birth and never treated by this or any other Dr.) When labwork came back pt had elevated cholesterol near but not over normal limits.
This was coded as a new pt visit 99204 with hypercholesterolemia, deviated septum and allergies.
No medications were prescribed or follow-ups scheduled.
The next year same thing pt requested physical again and only they coded as 99214 with same Dx's.
I inquired to the office as to why he is not being charged a physical because he requested one and was told that they do not schedule new patients for physicals their first visit and this was just a get to know you visit and if it was a physical an EKG would have been done?? The second year they said was a follow-up to the first and that they only do physicals every few years at the doctors request?
I would appreciate any input as I code for several PCP's offices and do not feel this is correct but feel my personal relationship may taint my opinion.
Thanks so much!!
Pt called up and requested physical examination due to being new in the area and needed to establish a PCP. Pt received bloodwork and full ROS Hx and Exam. During exam Dr. noted Post nasal drip and deviated septum. (Both present since birth and never treated by this or any other Dr.) When labwork came back pt had elevated cholesterol near but not over normal limits.
This was coded as a new pt visit 99204 with hypercholesterolemia, deviated septum and allergies.
No medications were prescribed or follow-ups scheduled.
The next year same thing pt requested physical again and only they coded as 99214 with same Dx's.
I inquired to the office as to why he is not being charged a physical because he requested one and was told that they do not schedule new patients for physicals their first visit and this was just a get to know you visit and if it was a physical an EKG would have been done?? The second year they said was a follow-up to the first and that they only do physicals every few years at the doctors request?
I would appreciate any input as I code for several PCP's offices and do not feel this is correct but feel my personal relationship may taint my opinion.
Thanks so much!!