sjsantjer
Networker
Would you bill the E&M? If yes, why? Thank you for your help!
Old patient been over 10 years since last visit.
CC:
1. Check mole. Back, raising, irregular, present years. Pt Concerned, hard for pt to see it.
2. Check R Hand. Rough area, present for months. No Rx yet.
Current meds…
KNA
HX skin Cancer: No
ROS: 14 reviewed with pertinent answers listed.
Exam: Pt is well developed, well nourished, oriented x 3, not acute distress, affect appropriate. Back, inflamed Red keratotic papule 8mm. Rt Ext, one red keratotic papule.
MDM:
1. Inflamed SK/Other back
Bx x1 etc.….
Bx report came back Seborrheic keratosis showing irritation, inflammation.
2. Actinic Keratosis
LN2 x1 etc.…
Dr would like to bill:
99202-25
11100
17000
Old patient been over 10 years since last visit.
CC:
1. Check mole. Back, raising, irregular, present years. Pt Concerned, hard for pt to see it.
2. Check R Hand. Rough area, present for months. No Rx yet.
Current meds…
KNA
HX skin Cancer: No
ROS: 14 reviewed with pertinent answers listed.
Exam: Pt is well developed, well nourished, oriented x 3, not acute distress, affect appropriate. Back, inflamed Red keratotic papule 8mm. Rt Ext, one red keratotic papule.
MDM:
1. Inflamed SK/Other back
Bx x1 etc.….
Bx report came back Seborrheic keratosis showing irritation, inflammation.
2. Actinic Keratosis
LN2 x1 etc.…
Dr would like to bill:
99202-25
11100
17000