tci Medicare Compliance & Reimbursement - 2010 Issue 24

Reader Questions: 99212 May Apply to Med Check

Question: The physician started an established patient on a new drug. Two weeks later, the patient presented for her next appointment, and one of our non-physician practitioners (NPPs) evaluated the patient, taking blood pressure and other vitals. The NPP also asked the patient if she had experienced side effects since she started the new drug. The report indicates that the visit is specifically for checking how the patient is adjusting to the medication. What E/M code should I report for this encounter?Answer: Your code choice, as always, hangs on your documentation. If an NPP (ARNP or PA) provides...

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