tci E/M Coding Alert - 2023 Issue Q1

You Be the Coder: You May Not need a Dx to Get Paid

Question: A parent brings their infant to see the pediatrician, saying the baby had been fussier than usual and was tugging on their ears a lot. Upon examination, the pediatrician finds no problems and makes no diagnosis. How do I report this encounter if there is no diagnosis? Florida Subscriber Answer: In short, just because a child is not ill does not mean they did not require the expertise of the pediatrician. Determining something isn’t wrong can be just as valuable as determining that something is. This is a common scenario, and here are a few options: Assuming...

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