Wiki problem visit with prevent med

[smros]

Hi everyone:

We are of the thinking that a "problem visit" (99201-99215) should not be billed out along with a prevent med code (99381-99397) unless it is a new, acute problem that requires significant, additional work.

However, I have a family practice physician that spends a lot of time (1+ hours) on things like obesity, asthma, depression, etc.

Is there any way to capture this time spent? Would it be appropriate to charge a 9921x (depending upon time documentation) for these chronic/risk prevention concerns?

Thanks for any input

 

[dadhich.girish]

Use of problem visit codes is not restricted to new/acute conditions while coded with preventive visit. It can be any dx - acute or chronic. The only thought to ponder up on is it must have separately identifiable elements with a separate dx code and coded with modifier 25.

HTH.