1. Cherie Pearman
   Posted 5 months ago #
   

   We had a patient present to our clinic with a sore eye. The patient would not let the physician touch her eye at all. She refused drops and any type of exam. The patient only wanted our physician to Rx her an ointment or antibiotic. Naturally, our physician refused, but through all this the physician ended up spending 15 minutes, if not more, consulting her and trying to perform and exam. Is there anyway we can bill for time spent in this scenario?

2. SuperCoder
   Posted 5 months ago #
   

   The coding guidelines pose here a complicated question...
   1. Whether there was face to face encounter with patient?
   2. Whether the physician provided a service.
   3. Whether patient's preference of a specific type of treatment if not allwed, be considered for an e/m visit?
   Analysis:
   1. Yes there was face-to-face.
   2. Physician attempted his/her best provide appropriate service.
   3. This is the scenario where physician spends time in persuading the patient for allowing proper treatment so as to ensure correct clinical management of the problem.
   CONCLUSION:
   This is a scenario where the physician can bill E/M codes based on Time where time spent in counseling and coordination is more than 50% of the total care taken.

3. Cherie Pearman
   Posted 5 months ago #
   

   What diagnosis code should I use for this e/m code?

4. SuperCoder
   Posted 5 months ago #
   

   What abot 379.91 (Pain in or around eye) for general eye pain?
   *
   Best,
   Leesa
   *

   Leesa A. Israel, BA, CPC, CUC, CMBS
   Executive Editor, The Coding Institute
   Manager, TCI Consulting & Revenue Cycle Solutions
   Home office: (866) 458-2973
   Email: leesai@codinginstitute.com
   http://www.codinginstitute.com

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