tci E/M Coding Alert - 2024 Issue Q1

Reader Questions: Find Synonyms for Myofibrositis

Question: Encounter notes indicate that a physician provided an office evaluation and management (E/M) service that lasted 44 minutes and included moderate medical decision making (MDM). Final diagnosis was “myofibrositis.” How should I code this claim? I’m not familiar with that diagnosis. Oregon Subscriber Answer: Your ICD-10 code will be M79.7 (Fibromyalgia). The alternate terms for M79.7 are fibromyositis, fibrositis, and myofibrositis. The E/M code you choose, however, isn’t as clear-cut. If the patient was new, report 99204 (Office or other outpatient visit for the evaluation and management of a new patient, which...

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