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99213

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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 - Apr 2005 -- FPM

Apr 1, 2005 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Don't Get Burned Coding Common Skin Procedures New Medicare Payment Opportunities Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Medicine codes MOST RECENT ISSUE...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0400/p35.html

The Value of a Coding Education -- FPM

Mar 1, 2005 - The authors describe options for physicians and members of their staff who want to obtain certification in coding.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0300/p20.html

Why It's Time to Purchase an Electronic Health Record System -- FPM

Dec 1, 2004 - The old reasons for holding off may have lost their validity.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/1100/p43.html

Coding for Depression Without Getting Depressed -- FPM

Mar 1, 2004 - Here is what you need to know to code and be reimbursed for counseling and treating patients with depression.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0300/p23.html

Group Visits Hit the Road -- FPM

Sep 1, 2004 - By taking group visits to his elderly patients, this physician found a way to meet their needs and those of his practice - and have fun at the same time.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0900/p39.html

Time Is of the Essence: Coding on the Basis of Time for Physician Services -- FPM

Jun 1, 2003 - Sometimes, coding is almost as simple as looking at the clock.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0600/p27.html

Are You Coding Accurately? -- FPM

Jun 1, 2004 - This article provides readers with step-by-step instructions for checking their E/M coding distribution with national guidelines established in the Centers for Medicare and Medicaid Family Practice Profile.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0600/p20.html

fpm20070100p21.pdf

...(99213) visits - differences that can have a surprisingly significant effect on your bottom line if you don’t understand them well. For example, the 2007 Medicare allowance (not adjusted for geographic differentials) for a 99212 is $37.14, while the allowance for a 99213 is $59.50....

Family Practice Management

https://www.aafp.org/fpm/2007/0100/fpm20070100p21.pdf

fpm20160500p30.pdf

...For example, the report shows that Physician A reports code 99213 almost three times as often as code 99214, although the benchmark ratio is 1.08:1. There are no Medicare wellness visits or transitional care management services reported. There are no smoking cessation services or...

Family Practice Management

https://www.aafp.org/fpm/2016/0500/fpm20160500p30.pdf

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

fpm20110900p33.pdf

...status of chronic diseases). A brief HPI includes documentation of one to three of these elements and is consistent with E/M codes 99212 and 99213. Since this is a follow-up visit for well-controlled chronic condi- tions, the HPI doesn’t meet the level of an extended HPI, which...

Family Practice Management

https://www.aafp.org/fpm/2011/0900/fpm20110900p33.pdf

Test Your Coding Skills -- Family Practice Management

...Progress note 1 Reviewers’ recommendations: 9939x-25 + 11200 or 99213-25 + 11200 or 99214-25 + 11200 For this visit, three reviewers recommended one of the preven- tive medicine services codes 99391-99397 (determined by the patient’s age, which is not included in this note), 11200...

Family Practice Management

https://www.aafp.org/fpm/2002/0200/fpm20020200p41.pdf

fpm20110300p31.pdf

...Stuck on 99213 Selecting and documenting appropriate levels of E/M services can be challenging for many physicians. Often, code 99213 becomes the default code because physicians think exten- sive documentation will be needed for coding anything higher and they believe 99213 is...

Family Practice Management

https://www.aafp.org/fpm/2011/0300/fpm20110300p31.pdf

fpm20070400p39.pdf

...percent of established patient visits were reported as 99212 - a decrease of almost 50 percent. During the same four-year period, the use of 99213 decreased by about 7 percent and the use of 99214 increased by about 60 percent. The increased use of electronic health records...

Family Practice Management

https://www.aafp.org/fpm/2007/0400/fpm20070400p39.pdf

fpm20081100p22.pdf

...Take a look at From the presenting problem to the code on page 24. The tables show how the requirements for 99213-99215 and 99203-99205 look if you start from the presenting problem, assume that the other decision- making requirements are met and work toward the exam Coding From...

Family Practice Management

https://www.aafp.org/fpm/2008/1100/fpm20081100p22.pdf

fpm20041000p31-rt1.xls

...99213 Level 3 office visit, est 2269 $51.63 $65 126% $58 112% $62 120% 99232 Subsequent hospital care 596 $54.27 $65 120% $60 111% $65 120% 99214 Level 4 office visit, est 1977 $80.65 $100 124% $90 112% $97 120% 45330 Sigmoidoscopy 112 $117.28 $125 107% $125 107% $141...

Family Practice Management

https://www.aafp.org/fpm/2004/1000/fpm20041000p31-rt1.xls

Family Practice Management

...1 BAN 5/8/08 99213 None Office visit 99213 $85 None $85 No Charge never entered 2 JAl 5/8/08 Not found None New patient visit, quick strep test 99203 87880 $128 None $128 No lost superbill 3 BAN 5/8/08 99396 82270 90718 Same Same, plus vaccine administration...

Family Practice Management

https://www.aafp.org/fpm/2009/0300/fpm20090300p15.pdf

Why It’s Time to Purchase an Electronic Health Record System -- Family Practice Management

...group, docu- mented a substantial overall increase in the appropriate use of 99214 codes for visits that would previously have been coded 99213, approximately one year after implementing E L E C T R O N I C R E C O R D S You can use the worksheet below to estimate the net...

Family Practice Management

https://www.aafp.org/fpm/2004/1100/fpm20041100p43.pdf

fpm20091100p18.pdf

...• 99211, 2.14 percent • 99212, 14.89 percent • 99213, 66.13 percent • 99214, 15.79 percent • 99215, 1.04 percent 10 Steps to a Patient-Centered Medical Home AnTon J. Kuzel, MD, MHPe Downloaded from the Family Practice Management Web site at www.aafp.org/fpm. Copyright© 2009...

Family Practice Management

https://www.aafp.org/fpm/2009/1100/fpm20091100p18.pdf

fpm20041100p43-rt1.xls

...Current Medicare payment for 99213 in your area (e.g. $47.08): B $0.00 Additional income per 99214 visit (A - B) C $0.00 Current annual number of visits coded 99213: D 0 Additional visits coded 99214 with improved coding (0.1 x D): E 0 Estimated increase in revenue...

Family Practice Management

https://www.aafp.org/fpm/2004/1100/fpm20041100p43-rt1.xls

Time is of the Essence: Coding on the Basis of Time for Physician Services -- Family ...

...are summarized on page 30. For example, according to CPT, a 99203 office visit typically requires 30 min- utes of a physician’s time, while a 99213 office visit requires 15 minutes on average. When time can be used as the basis for selecting the right code, there is some debate...

Family Practice Management

https://www.aafp.org/fpm/2003/0600/fpm20030600p27.pdf

Making Sense of Preventive Medicine Coding -- Family Practice Management

...99213-25* Office outpatient E/M service for established patient 93000 Electrocardiogram 71020 Chest X-ray, PA and lateral *The level of service represents only an example. The level reported should be determined by the documented history, exam and/or medical decision...

Family Practice Management

https://www.aafp.org/fpm/2004/0400/fpm20040400p49.pdf

fpm20080200p36.pdf

...the same amount for a 99213. Other payers use multiple conversion factors, which means that physicians in dif- ferent specialties could be paid differently for performing the same service (see Are Your Payers’ Fee Schedules Fair? FPM, April 2007). Code: 99213 Work RVUs: 0.92...

Family Practice Management

https://www.aafp.org/fpm/2008/0200/fpm20080200p36.pdf

fpm20081100p17.pdf

...the physician spends at least 15 minutes of face-to-face time with the patient and the majority of that time involves counseling, then code 99213 could be reported (since 15 minutes is the typical time associated with that code). In contrast, using the key components to determine...

Family Practice Management

https://www.aafp.org/fpm/2008/1100/fpm20081100p17.pdf

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