mercredi 16 septembre 2020

99395 with 99213. Do you think the documentation supports the additional 99213?

Primary Care Provider: MD
Accompanied by: Self
Visit Type: New Visit

Chief Complaint: Annual PE

History of Present Illness:
Patient is a Years Old Female who presents for an annual health maintenance exam.

Last LMP: x/xx/xx
PAP Smear (21-30 q3yrs; 30-65 q5yrs when HPV cotested): normal
Fall Prevention: (Get up and go test) + Vit D + hx of falls/mobility issues; no issues
Skin Evaluation: No issues
Depression screening: patient declined PHQ9

Patient has a history of HLD, but is...

99395 with 99213. Do you think the documentation supports the additional 99213?

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