annej0
Contributor
I have MCR patient (69yrs old) that was seen in the office for post menopausal bleeding and the doctor billed a 99214 and Q0091 with a diagnosis of 627.1. Is this correct?
(part of dictation below)
HPI: Noticed vaginal bleeding since this AM more than menses. Has sharp pain in low abd for a long time. Vaginal irritation for 2mos with d/c
Review of Systems
General: Patient complains of see HPI, malaise. Patient denies weight loss.
Breast: Patient denies masses, nipple discharge.
Gastrointestinal: Patient complains of see HPI, abdominal pain. Patient denies change in bowel habits, melena, hematochezia.
Genitourinary: Patient complains of see HPI, vaginal discharge, abnormal vaginal bleeding, pelvic pain. Patient denies dysuria, hematuria.
Musculoskeletal: Patient denies back pain.
Impression & Plan Summary:
POSTMENOPAUSAL BLEEDING.
-pap done
Any help I can get on this will be greatly appreciated!
(part of dictation below)
HPI: Noticed vaginal bleeding since this AM more than menses. Has sharp pain in low abd for a long time. Vaginal irritation for 2mos with d/c
Review of Systems
General: Patient complains of see HPI, malaise. Patient denies weight loss.
Breast: Patient denies masses, nipple discharge.
Gastrointestinal: Patient complains of see HPI, abdominal pain. Patient denies change in bowel habits, melena, hematochezia.
Genitourinary: Patient complains of see HPI, vaginal discharge, abnormal vaginal bleeding, pelvic pain. Patient denies dysuria, hematuria.
Musculoskeletal: Patient denies back pain.
Impression & Plan Summary:
POSTMENOPAUSAL BLEEDING.
-pap done
Any help I can get on this will be greatly appreciated!