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PE annual and office visit for tick bite?

Would it be appropriate if patient presents with a tick bite and bull’s eye rash to bill an office visit with a PE annual when patient is also being seen for this?
In this case the MD ordered labs to check for Lyme’s and gave Rx for doxycycline, in addition to performing an Annual Physical Exam to a non-Medicare patient.
Would a PE code for non-Medicare/commercial insurance and 99213 be appropriate to bill together?
Thank you

Medical Billing and Coding Forum

tick bite level

How are we billing for office visit when the chief complaint is a tick bite and the patient has no symptoms, but the provider prescribes doxycycline prophylactically?
thank you
To me it is a 99212 or 99213 for established.
Should we bill level 2 or level 3?
We are internal medicine and we’re seeing a lot of patients presenting with tick bites and doxy is Rx given.

Medical Billing and Coding Forum

Dog Bite Wound Care

Need a little clarification on coding a Dog Bite. We have a Healthcare office & Urgent Care all in one. This one came in under urgent care. Here is the notes from the encounter:

Location: right lower leg posterior calf region. The wound was irrigated with sterile normal saline and debrided of any foreign material or devitalized tissue. Bleeding controlled prior to arrival. Puncture marks closed with steri strip and covered with Telfa and secured with coban dressing. Sterile wound dressing applied. The patient tolerated procedure well. Wound care instructions were given, and patient was instructed to return for redness, warmth, or swelling of the skin, red streaking, pus, increasing pain, fevers, or any other signs or symptoms of infection.

Everything I am reading says that since steri strips were used that we can only code an E&M for wound repair, but does that include the "wound care/irrigation, etc?"

I’m new to this type of coding so just want to know how much we can actually bill.

Medical Billing and Coding Forum

Bug Bite

Patient presented with rash and on exam provider noted scattered erythematous papules with central punctum then reported an external cause code (W) to indicate it was from an insect bite. My question is, since there’s no documentation that indicates patient got bit by a bug but the exam findings would infer a bug bite should we still report the primary S code or report the sign & symptom as rash & include the exam findings as additional diagnosis codes? Any help would be great!

Medical Billing and Coding Forum