sparkles1077
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Hello Fellow Coding Gurus,
Patient presents for preventative medicine. The provider notes history of hyperlipidemia and orders labs. Also completes a comprehensive history and exam. This does not really satisfy preventative, as the provider does not document any counseling/anticipatory guidance/risk factor reduction interventions. Would you code an E/M? I have heard some may consider this service noncompliant and not bill anything because the patient initially presented for preventative, which was not performed. However, it still seems like they could get an E and M.
Let me know of your thoughts/experience.
Thank you
Patient presents for preventative medicine. The provider notes history of hyperlipidemia and orders labs. Also completes a comprehensive history and exam. This does not really satisfy preventative, as the provider does not document any counseling/anticipatory guidance/risk factor reduction interventions. Would you code an E/M? I have heard some may consider this service noncompliant and not bill anything because the patient initially presented for preventative, which was not performed. However, it still seems like they could get an E and M.
Let me know of your thoughts/experience.
Thank you