tci Medicare Compliance & Reimbursement - 2007 Issue 42

CPT 2008: Look For Drug-Abuse Questions In E/M Notes, And Add To Your Revenue

Doctor must document time, structured questionnaireHeads up: If a patient comes in and seems to have substance-abuse issues, then you may have an opportunity to bill an extra code in addition to the evaluation and management visit. The lowdown: You can bill new substance abuse screening codes 99408-99409 in addition to a separately identifiable E/M visit. You'll probably use these codes mostly in the primary care and pain management settings, says Joan Gilhooly, president of Medical Business Resources in Barrington, IL.Example: A patient comes in for a refill of a controlled-substance medication, and the physician performs an E/M...

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