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Re: codingFrom: Joanne Bulley (islesannie@yahoo.com)Tue Apr 24 17:23:33 2001
It takes a minimum of time to do the rest to do the 99394 series of codes. I find that I am the primary medical person that EVER checks on the multisystem stuff and make sure she gets the multisystem preventive care. Aslo- if you oversee the pap, stoll for occult blood, the mammogram, the bone density and cholesterol or other testing - you or your office staff does a lote of follow up in making sure she DID those things and gets the results - so it is worth the additional fees. If you do the multisystem review and exam and she doesn't need anything else - due mostly to age - the fee and reimbursement happens to be less for those ages. and the V72.3 diagnosis. I have had no problems with this unless the patient has insurance that only covers E/M stuff. If the visit is TRULY medication management then the minimum code is the level 3 (usually) in the E/M with the appropriate diagnosis for the condition being managed. Many visits are indeed both at the same time - so it is appropriate to code what "looks" the same as either "preventive" or "E/M" depending on the insurer. I just make darn sure the notes are tight as to what is being followed/managed/prevented etc! Joanne
At Tue, 24 Apr 2001, Robert J Woolley wrote:
>
-- Joanne Bulley, MD, FACOG Keene, NH, USA
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