tci E/M Coding Alert - 2024 Issue Q1

You Be the Coder: Explore Cerebellar Abscess Diagnostic Process

Question: Notes indicate that the surgeon performed a level 4 office evaluation and management (E/M) service and a magnetic resonance imaging (MRI) of the brain without contrast, followed by contrast and further sequences, for an established patient. Final diagnosis was “embolic cerebellar abscess.” How should I report this encounter? AAPC Forum Subscriber Answer: On the claim, report: 70553 (Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences)) for the MRI, 99214 (Office or other outpatient visit for the evaluation and management of an established patient, which requires...

To read the full article, sign in and subscribe to tci E/M Coding Alert.

Thank you for choosing Find-A-Code, please Sign In to remove ads.