tci E/M Coding Alert - 2015 Issue 2

Key Elements: Differentiate 99213, 99214 to Get the Pay That You Deserve

Knowing what to look for in documentation is the key to deciding outpatient visit leveling. Making the choice between the two outpatient visit codes for established patients can be a challenge. Physicians tend to report 99213 for a larger percent of their office visits than they do 99214, when in fact reporting 99214 may be more accurate if you have supporting documentation. As you read on, you’ll get a sense of what the deciding factors are between levels that will help you make the best coding decision. Rely on the Descriptor and Examine the Note Once you’re...

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