When a pcp sees a patient who is being followed by another physician for a surgery, does it count towards MDM if there are no problems? Here's the example:
The pt comes in for depression with status post exostectomy of right great toe. The documentation regarding the toe is:
History: He states that he is still seeing Dr. Seuss for his right great toe and his toe has been giving him no issues.
Exam: Right great toe with full range of motion. Nontender, no erythema.
A/P: Exostectomy of the right great toe. To continue to follow with Dr. Seuss.
This patient is still in the global period with the other doc so should the PCP get credit for this review or should it be carved out of the visit? A level 4 was billed and if I carve out the toe (no pun intended!), the most that's supported is a 99213. What does everyone think??
The pt comes in for depression with status post exostectomy of right great toe. The documentation regarding the toe is:
History: He states that he is still seeing Dr. Seuss for his right great toe and his toe has been giving him no issues.
Exam: Right great toe with full range of motion. Nontender, no erythema.
A/P: Exostectomy of the right great toe. To continue to follow with Dr. Seuss.
This patient is still in the global period with the other doc so should the PCP get credit for this review or should it be carved out of the visit? A level 4 was billed and if I carve out the toe (no pun intended!), the most that's supported is a 99213. What does everyone think??