tci Medicare Compliance & Reimbursement - 2013 Issue 11

Reader Question: Capture Payment For Biopsy Result Discussion

Question: A patient came in for the biopsy report after a 90-day global procedure. The doctor talked to the patient about results and different types of treatment for 15 minutes. How can I capture payment for this visit? Answer: You should report the appropriate office visit code, such as 99213 (Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity ...), based on the time your physician spent reviewing...

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