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Family Practice Billing Help
97110 by General Practitioner or Family medicine in office Visit
Request to guide that, can we report 97110 (Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility) for below scenario ?
In the office visit of Worker’s Compensation of California by general practitioner or family medicine, provider documents below paragraph with the heading of therapeutic exercises.
THERAPEUTIC EXERCISES
The patient was personally trained in appropriate warm up, strengthening and stretching exercises. These rehabilitative exercises were reiterated, demonstrated and reinforced; while the patient actively participated. This is also intended to be performed at home on a daily basis. The rehabilitation routine decreases inflammation, increases flexibility and strength of the specific structures in the injury adjacent locale to include both agonist and antagonist muscle groups, intrinsic flexor, extensor and rotary muscles as well as supporting structures. The exercises were intended to increase strength and range of motion and decrease pain. The minimum time required for CPT 97110 was exceeded for this patient.
Family practice
coding inpatient face to face family consult
This included going over MRI, pathology reports, surgical scheduling for port placement, radiation, chemo and other critical components necessary for the child’s care.
The doctor coded this as a 99255, 99356 and 99357 I am leaning to 99358 for the 1st hour and 99359 for the half hour
is this correct?
Jean
Multi-Physician practice billing for a family member
We bill under a group practice NPI.
Any thoughts?
OMH Guidline questions for NY State — Family Psychotherapy
Our BH clinic just switched from DOH to OMH and I’m getting used to the new guidelines.
For family psychotherapy, it states that in order to bill a 90847, the session must be 60 minutes long. What happens if it’s less time? The 90846 states a minimum of 30 minutes is acceptable. I’m wary of ‘downcoding’ it to a 90846 for the time requirements, because the 90847 is WITH patient present, and 90846 is WITHOUT patient present.
Do I just code it as a regular psychotherapy visit if it does not meet the 60 minute time requirement?
Thanks in advance!
Family Medicine offices
Past, Family, and/or Social History (PFSH)
Per E/M guidelines: You do not need to re-record a ROS and/or a PFSH obtained during an earlier encounter if there is evidence that the physician reviewed and updated the previous information. This may occur when a physician updates his or her own record or in an institutional setting or group practice where many physicians use a common record.
You may document the review and update by:
Describing any new ROS and/or PFSH information or noting there is no change
in the information
Noting the date and location of the earlier ROS and/or PFSH
by him signing and dating below, is this sufficient to account for a PFSH????
This is an example of the providers documentation:
Chief Complaint
Patient presents with
Hypertension
*
*
HPI patient is here for htn,. He has been on medication in the past. But has not had insurance. Now he was unable to past a dot physical to drive big rig.
*
Review of Systems
Neurological: Positive for headaches.
*
*
*
Patient’s medications, allergies, past medical, surgical, social and family histories were reviewed and updated as appropriate.
*
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Objective:
Physical Exam
Constitutional: He is oriented to person, place, and time. He appears well-developed and well-nourished.
Cardiovascular: Normal rate.
Neurological: He is alert and oriented to person, place, and time.
*
*
*
Assessment:
*
1. HTN, goal below 140/90 losartan (COZAAR) 50 MG tablet
* DISCONTINUED: losartan (COZAAR) 50 MG tablet
*
RTc in 1 week for bp control.
Electronically signed by XXXXX, DO at 10/23/2017 *9:40 AM