DecisionHealth, DecisionHealth - 2009 Issue 10 (October)

New data shows practices bill more higher-level E/M codes

You and your peers are billing more high-level established patient office visits than ever before, a shift upward from low and mid-level E/M codes, an exclusive Part B News analysis shows (see chart). The facts: 99214 (office/outpatient visit, est., $92.33) made up 30.9% of all claims submitted with codes in the 99211-99215 series in 2008 - dramatically up from 20.7% in 2000. 99214's increased share represents a numerical increase of 34.2 million claims submitted over the eight year window.

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