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Routine physical: 99211 or 99212?

Posted on November 20, 2018 by CPC Exam Medical Coding Updates

New to E/M and need guidance. Established patient in for a routine physical.
Everything looked fine. Mention of two systems reviewed. Doesn’t need to
return for 12 mths.

Not sure if anything would count towards 212.
Still, I’ve seen an article while looking for answers that said only 3% of
cases are actually 211 so… Any help is appreciated.

Medical Billing and Coding Forum

Physical Exam Documentation help

Posted on November 7, 2018 by CPC Exam Medical Coding Updates

I’m an internal auditor and I have run into some exam documentation that I have not encountered before. The physician is using "denies" within the exam section which to me is more like ROS documentation, not physical exam.
Musculoskeletal:
Wrists Denies swelling, denies tenderness
Ankles Denies swelling, denies tenderness
Feet Denies swelling, denies tenderness

I feel like this could be a potential issue with an outside auditor. Am I completely off base?:confused:
If not, would anyone be able to point me to information I could use to educate the physician?
Thanks!
Hollee Hamilton, CPC, CEMA

Medical Billing and Coding Forum

Practice Professionalism in the Physical and Digital World

Posted on October 9, 2018 by CPC Exam Medical Coding Updates

Whether interviewing or already working, put your best foot forward and march. Being a professional in our chosen field means much more than earning a degree and wearing a suit. We must conduct ourselves professionally on all levels — from the job interview to the office, and when using social media. Be a Professional The […]
AAPC Knowledge Center

97 Physical Exam bullet: extremities

Posted on September 17, 2018 by CPC Exam Medical Coding Updates

Can someone help me know whether an exam bullet(s) for extremities can be counted in the example below.

EXTREMITIES: External fetal monitor shows a fetal heart rate baseline of 135 with minimal to moderate variability and spontaneous variable and late deceleration’s. External uterine monitor shows contractions randomly approximately every 10 minutes.

Can a bullet be counted for the uterus contractions? what about the fetal heart rate and late deceleration’s?

This is obviously a pregnant patient, this is taken from the hospital HPI.

TIA
KAM

Medical Billing and Coding Forum

Physical exam for POV

Posted on August 22, 2018 by CPC Exam Medical Coding Updates

Is there a code for the physical exam for power wheel chair for medicare? all i can find is the check list for the exam on line at cms.gov

Trudy Q

Medical Billing and Coding Forum

Initial Medicare Physical

Posted on July 30, 2018 by CPC Exam Medical Coding Updates

This question is in regard to the Initial Medicare Physical that patient’s can have within their first year of enrollment…

Part of the exam is a "simple visual acuity screen." My physician is wondering if the exam can be performed using the Jaeger Vision test cards rather than the wall chart. Any idea if these are acceptable?

Thanks so much for any input!!

Medical Billing and Coding Forum

Physical Exam Documentation

Posted on June 22, 2018 by CPC Exam Medical Coding Updates

This is a question about documenting the physical exam.

Our Clinical treatment forms are templates that have "check" boxes for ROS, PFSH, Physical Exam Body Areas/Organ Systems. There are also diagrams of the body since we are Dermatology specialty.

When the provider is documenting the physical exam, can he/she just draw a line to the body part on the diagram and write what the finding is without checking the appropriate box for body area/organ system?
OR
does the provider have the check the appropriate box under the physical exam section indicating which body area or organ system was examined?

Any help is appreciated. Thank you.

Medical Billing and Coding Forum

Physical Therapy

Posted on June 21, 2018 by CPC Exam Medical Coding Updates

Needing in put on what modifier is being used when physical therapist is seeing patient twice in one day for two different problems..past threads were leaning toward either 59, XE or 76? Any input on this would be greatly appreciated..

Thank you
MS

Medical Billing and Coding Forum

Outreach physical therapy

Posted on May 18, 2018 by CPC Exam Medical Coding Updates

We are going to have an athletic trainer see patients at a local college. How would we go about billing for that? It’s part of our therapy outreach program, they will be doing the actual therapy there at the college location.

Medical Billing and Coding Forum

Physical Therapy

Posted on April 24, 2018 by CPC Exam Medical Coding Updates

Hello,

Physical Therapy is a new area for me and I was given a question from one of my members from the billing team about Denial from the Insurance Company. They billed for DOS: 05/11/2017 CPT codes 97110, 97116, G8978 DOS: 05/17/2017 97110, 97116, 97140, G8979, G8980. They are denying for Modifier missing & not properly paired G codes? Can someone please tell me where to start looking? Do you have a link? want to see if we can correct before the 1 year deadline.

Thanks in Advance!!!:D

Medical Billing and Coding Forum

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Tag Archives: Physical

Routine physical: 99211 or 99212?

Physical Exam Documentation help

Practice Professionalism in the Physical and Digital World

97 Physical Exam bullet: extremities

Physical exam for POV

Initial Medicare Physical

Physical Exam Documentation

Physical Therapy

Outreach physical therapy

Physical Therapy