Physicians can bill a CPT code 99214 if they see a patient with one chronic disease not in optimal control. For example, the patient may have stable angina two months post-myocardial infarction, and he is not tolerating one of his medications. Rules of Thumb for 99214 Use 99214 in any of...
Pick the highest level of risk that you have to consider among three different risk-factor categories: presenting problem, diagnostic procedure(s) ordered and management options selected. If, for instance, you prescribe medications to treat a patient with a chronic stable illness (without exacerbation...
Ch 16.Prescriptions & Medications Ch 17.Diagnostic Testing in Health... Ch 18.Legal Aspects of Medical Assisting in... Ch 19.Patient Communications & Education for... Ch 20.Medical Records & HIPAA Ch 21.Human Resources Policies & Employee... ...
With the advent of MIPS reporting, it may also be necessary to document what procedures have been done in the past or the medications previously administered to treat the presenting problem in the notations of the visit. This will allow coders to apply the necessary CPT category II code to be...
Post-operative management following general anesthesia if the infant needs respiratory support and frequent adjustment of cardiovascular and pain medications (appropriate modifiers must be used by the neonatologist if the neonatal surgical care code includes postoperative care). Discussion with hospital codin...
pharmacological agents instead of exercise. This type of stress test is typically performed when a patient is unable to exercise adequately due to physical limitations. Pharmacological stress tests simulate the effects of exercise on the heart by administering medications that increase heart rate and ...
Refilling medication for a patient whose prescription has run out; however, the patient must be present in the office suite and physically seen by the provider Discussion with patient in-person following laboratory tests results that indicate the need to adjust medications or repeat order of tests ...