We have a patient who came in for his yearly physical. He happens to have multiple issues some chronic. He has mr, scoliosis, obesity, and hypotonia. My dr would like me to bill 99394 and 99214 because he addresses these issues but i don't think that is correct since he only checks the status of these and doesnt really do enough for an additional e/m. When patients have chronic illnesses that are being routinely followed shouldn't that be included in the yearly exam? Any thoughts?? Thanks :d