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tci E/M Coding Alert - 2024 Issue Q1

Reader Question: Don’t Forget Alternate Terms for MS

Question: Encounter notes indicate that the provider treated a new patient with multiple sclerosis (MS) of the brain stem. First, they performed an office evaluation and management (E/M) service that included high-level medical decision making (MDM). Then, they performed a magnetic resonance imaging (MRI) of the brain without contrast materials, followed by contrast materials. The provider does not own the MRI equipment. How should I code this encounter? Mississippi Subscriber Answer: For this claim, you should report: 99205 (Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or...

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