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Coding for only a family history?

Kimberly Posted Tue 25th of November, 2014 11:52:28 AM

New Patient presents with significant family history of pancreatic cancer (mother, father, paternal grandparent). She has no symptoms at all and physician recommends CA19-9 and MR of pancreas. He coded 99244 but I'm not convinced that's appropriate here.

SuperCoder Answered Wed 26th of November, 2014 07:10:00 AM

Yes, E/M code 99244 is not appropriate for above documentation. You should go for lower level E/M code. I would suggest 99242.

Thanks !!

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