tci E/M Coding Alert - 2015 Issue 4

Reader Question: Check for Another F2F in Past 3 Years

Question: We’ve been getting a denial for new patient code 99204. The only service the physician provided to the patient in the last three years was a 93306-26 in the hospital without ever seeing the patient. Should we be using an established patient code? SuperCoder.com Subscriber Answer: A new patient code is correct when the only previous service provided was 93306-26 (Echocardiography, transthoracic, real-time with image documentation [2D], includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography; Professional component). You should look into whether any other physician from your group...

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