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medicine management and table of risk

sonya Posted Fri 20th of March, 2015 08:41:28 AM

What about if a patient comes in and has a sinus infection and just got an antibiotic? Would you consider that "prescription drug management?"...thus moving it to a 99214 for est patient, pro fee.

SuperCoder Answered Fri 20th of March, 2015 09:49:42 AM

Thanks for your question. When a provider writes a prescription for an antibiotic this is considered prescription drug management. If the other items in the table of risk meet the requirements for moderate level, you would be able to give the provider credit for moderate in the table of risk. The exam or the history also must meet the requirements to bill for a 99214. This code requires 2 out of 3 meeting the required level for assignment.

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