Wiki Wound care and E & M levels

[carol52]

Question on E & M levels. Pt seen in wound care for continues problems , same DX by different Dr's. Some Doc's want to charge a 99214 for same problems billed by another Dr who previously charged a 99212. How do I approach this problem ?

 

[mitchellde]

review the notes and see if it meets the criteria, remember that medical necessity is the overarching criteria, even if on the surface the level meets a 4 the question is SHOULD it meet a level 4, are there parts documented that are unnecessary given the presenting issue?

 

[ljmcnamara3]

Are you reporting an E/M level rather than a 97597-97602?