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Does anyone know of any guidelines I can print out for my doctor regarding coding a problem visit with a preventative exam. I have explained to him the proper way to do this, but he still needs more clarification. Thank you!
If an abnormality is encountered or a preexisting condition is addressed in the process of performing a preventive medicine service and the problem/abnormality is significant enough to require additional work to perform the key components of a problem-oriented E/M service, then the appropriate E/M office outpatient visit may be reported.
I don't believe it is very clear. Based on the coders I have asked about this and information I have found, there seems to be variation in interpretation. For a patient there for a prevent when several chronic problems are reviewed and are all stable with no changes in meds I can't seem to get a straight answer anywhere. Does anyone know of any other sources besides the CPT definition of a prevent that helps clarify this?
