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99213

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Coding & Documentation - Jul 2006 -- FPM

Aug 1, 2006 - ...and give referrals when appropriate. We also plan to write individual progress notes for each patient. Would it be appropriate to bill 99213 or 99214, along with 99499, Unlisted evaluation and management (E/M) service, if our documentation meets the criteria for these codes? A At...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0700/p25.html

Coding & Documentation - Jul 2007 -- FPM

Aug 1, 2007 - ...Can I code 99213, 69210 and 93000 at the same visit? A Yes. You should append modifier -25 to the evaluation and management (E/M) code, but you should not need additional modifiers for 69210, removal impacted cerumen (separate procedure), one or both ears, or for 93000,...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/0700/p24.html

Coding & Documentation - Jul 2008 -- FPM

Aug 1, 2008 - ...to attach modifier 25 to the evaluation and management (E/M) code when an injection is also performed? For example, I have been coding 99213-25 with 90772. A Yes. CPT instructs that modifier 25 may be reported when a significant and separately identifiable E/M service is provided...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2008/0700/p43.html

Coding & Documentation - Mar 2001 -- FPM

Mar 1, 2001 - ...with the level of office visit you provided from the time you actually spent in face-to-face contact with the patient. The CPT manual says a 99213 typically involves 15 minutes of face-to-face time. Subtracting 15 from 70 leaves 55 minutes. Prolonged services code 99354 accounts for...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0300/p23.html

Coding & Documentation - May 2000 -- FPM

May 1, 2000 - ...CPT code is to code the five-digit version of the modifier in addition to the CPT code. For example, instead of coding 99213–25, you can code 99213 and 09925. The five-digit version of a CPT modifier is always 099XX, with XX being the two digits otherwise associated with the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2000/0500/p22.html

Coding & Documentation - May 2005 -- FPM

May 1, 2005 - ...otherwise does not meet the definition of a consultation, the office encounter should be coded using an office/outpatient visit code, such as 99213. In either case, modifier -25 should be appended to the E/M code to indicate that it was a significant, separately identifiable service...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0500/p27.html

Coding & Documentation - May 2006 -- FPM

May 1, 2006 - ...In the past, I have always billed 99213 with CPT injection code 90782 and HCPCS injection codes J1100 and J1030. Recently, the insurance company has denied the office visit as invalid with CPT code 90782. What are we doing wrong? A First, 90782 is not valid in 2006; instead use...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0500/p32.html

Coding & Documentation - May 2007 -- FPM

May 1, 2007 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Don't Get Burned Coding Common Skin Procedures An Update on Certifying Home Health Care Editor's Collections Coding Medicare Medicare Annual Wellness Visits Coding & Documentation Related Topic...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/0500/p16.html

Coding & Documentation - May-Jun 2014 -- FPM

Jun 1, 2014 - ...Regarding transitional care management codes 99495 and 99496, if we see the patient for a 99213- or 99214-level service before the end of the 30-day period, can we bill for that visit at that time and then bill the 99495 after the 30 days? A The first face-to-face visit with the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2014/0500/p29.html

Coding & Documentation - Nov 2002 -- FPM

Dec 1, 2002 - ...Medicare will allow you to submit G0101 in addition to an evaluation and management (E/M) service (e.g., 99213) if the E/M service is significant and separately identifiable from the G0101 service. An example would be if an established Medicare patient with chronic essential...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2002/1100/p30.html

Coding & Documentation - Nov 2006 -- FPM

Dec 1, 2006 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum An Update on Certifying Home Health Care Coding Level 4 Office Visits Using the New E/M Guidelines Editor's Collections Coding Medicare Medicare Annual Wellness Visits Coding & Documentation Related...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/1100/p27.html

Coding & Documentation - Nov 2007 -- FPM

Dec 1, 2007 - ...Can I report office visit code 99213 with modifier -25 and code 90805 for psychotherapy at the same visit? A No. Code 90805 reports that psychotherapy and medical E/M services were provided on the same date, which includes evaluation and management of comorbid conditions, drug...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/1100/p15.html

Coding & Documentation - Nov 2008 -- FPM

Dec 1, 2008 - ...We had a patient come in for a routine diabetic checkup, which we billed using CPT code 99213 and ICD-9 code 250.02. A few hours later, this patient came in with a migraine and hypertension issues. Could we have reported code 99058 for the second visit? A Code 99058 is to be...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2008/1100/p37.html

Coding & Documentation - Nov-Dec 2013 -- FPM

Dec 1, 2013 - ...In general, the AAFP advises that you report an E/M code, such as 99213, for a patient seen in a group setting as long as your documentation supports that you provided the key components of the code. In other words, the fact that an E/M service was provided in the presence of other...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2013/1100/p28.html

Coding & Documentation - Oct 2002 -- FPM

Oct 1, 2002 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum What Can a PA or NP Do for Your Practice? An Update on Certifying Home Health Care Editor's Collections Coding & Documentation Related Topic Searches Time-based coding MOST RECENT ISSUE Mar-Apr...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2002/1000/p23.html

Coding & Documentation - Oct 2003 -- FPM

Oct 1, 2003 - ...Medicare will allow you to submit G0101 in addition to an evaluation and management (E/M) service (e.g., 99213) if the E/M service is significant and separately identifiable from the G0101 service. An example would be if an established Medicare patient with chronic essential...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/1000/p16.html

Coding & Documentation - Oct 2006 -- FPM

Oct 1, 2006 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Sports Physicals: A Coding Conundrum In Support of Buprenorphine Deregulation Editor's Collections Coding & Documentation Related Topic Searches Time-based coding MOST RECENT ISSUE Mar-Apr 2021...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/1000/p29.html

Coding & Documentation - Oct 2007 -- FPM

Oct 1, 2007 - ...A injection, can I bill for the visit (99213), the vaccine (90632, Hepatitis A vaccine, adult dosage, for intramuscular use) and the vaccine administration (90471) at the same time? A Yes. You will need to append modifier -25 to code 99213 in this scenario to indicate that your work...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/1000/p15.html

Coding & Documentation - Sep 2007 -- FPM

Sep 1, 2007 - ...that … under existing CPT codes and Medicare rules, a physician could furnish a medically necessary face-to-face E/M service (e.g., CPT code 99213 or similar code depending on the level of complexity) to a particular patient that is observed by other patients. From a payment...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/0900/p12.html

Coding & Documentation - Sep-Oct 2009 -- FPM

Oct 1, 2009 - ...observation care services on day one, 99213 for observation care on day two and 99217 for observation care discharge services on day three. The hospital listed the patient as an outpatient all three days. Is there a better code than 99213 to use for day two? Also, should 99219 be...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2009/0900/p30.html

Coding & Documentation - Sep-Oct 2015 -- FPM

Oct 1, 2015 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Editor's Collections Medicare Medicare Annual Wellness Visits Coding & Documentation Related Topic Searches Medicare Time-based coding MOST RECENT ISSUE Mar-Apr 2021 Access the latest issue of...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2015/0900/p48.html

Coding and Documentation Made Easier -- FPM

Apr 1, 1998 - The author's physician-friendly tool can help you to code more confidently.

Family Practice Management : Articles

https://www.aafp.org/fpm/1998/0400/p19.html

Coding Better for Better Reimbursement -- Family Practice Management

...99212 and 99213. The CPT require- ments for these two codes are shown side by side on page 33. As you can see, the differ- ence between the two can be slight.If you don’t fully document the work you do in a visit, you’ll often end up coding 99212s for visits that are easily 99213s....

Family Practice Management

https://www.aafp.org/fpm/2003/0100/fpm20030100p29.pdf

Coding Better for Better Reimbursement -- FPM

Jan 1, 2003 - Your work is worth more than you think. You just need to document and code it better.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0100/p29.html

Coding E/M visits by medical decision making -- FPM

Starting Jan. 1, physicians will be able to code evaluation and management visits based solely on medical decision making, which is made up of three elements.

Family Practice Management : Quick Tips : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/medical_decision_making.html

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