tci Part B Insider - 2013 Issue 15

Headaches: 2 Easy Steps Improve Your Migraine Documentation and Coding

Keep the E/M coding guidelines close at hand when seeing migraine patients. If your physician treats established patients’ migraine headaches, don’t expect each visit to fall into the same E/M level. That’s because the physician’s services - and the E/M level you should report - depend on the patient. The patient’s medical needs drive the level of history, exam and how much medical decision-making the physician performs, rather than allowing the diagnosis to drive it. Put 99213 to the Test To start coding migraine office visits with confidence, check out these migraine-treatment scenarios and see...

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