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Ophthalmology Coding Alert

You Be the Coder:

Know When, How to Amend Notes

Question: Our office performed an audit prior to submitting our claim to insurance and we discovered that the doctor marked a 99215 even though the level only met the requirements for 99214. The doctor has received one-on-one training, and it has been explained what constitutes a level five. Is it acceptable for the doctor to make amendments to the note so [...]