Tonyj
True Blue
I'm having a moment of brain freeze.
Pt comes in with wife for a "quick discussion" on how to proceed with treatment. Physician documents fully everything discussed with the pt and wife. Clinical trials available, loss of time, adverse effects and documents a total 25 minutes spent.
Can I code this as a level 4?
No HPI, No exam, No MDM only content of discussion with the patient was documented.
Pt comes in with wife for a "quick discussion" on how to proceed with treatment. Physician documents fully everything discussed with the pt and wife. Clinical trials available, loss of time, adverse effects and documents a total 25 minutes spent.
Can I code this as a level 4?
No HPI, No exam, No MDM only content of discussion with the patient was documented.