tci E/M Coding Alert - 2016 Issue 9

Reader Question: Educate Physicians on 'Automatic' E/M Coding

Question: I am having an issue with one of our physicians who wants to report almost all of his hospital inpatient subsequent visit services as 99233. His rationale is that colleagues have told him that you can automatically report 99233 when the patient suffers from co-morbidities, or has a diagnosis such as congestive heart failure (CHF), acute myocardial infarction (MI), unstable angina, etc. How can I make him understand that this is not correct coding without offending him? California Subscriber Answer: Your physician is making dangerous assumptions about patient conditions and E/M levels. While it’s true that a...

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.