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Vitals

Marilyn Posted Tue 11th of August, 2015 16:58:30 PM

Does CPT 90791, 90837, and 90834 requires patient vitals to be taken?

SuperCoder Answered Wed 12th of August, 2015 00:50:47 AM

CPT code 90791 do not include Medical services like: physical exam or considering writing a prescription or modifying psychiatric treatment based on medical co-morbidities.

CPT code 90792 includes Vital examination.

For CPT 90837 and 90834, there is no proper documentation whether Vital examination is included in these codes or not. But in normal circumstances, vital examination are performed to check whether the patient is stable to go with any procedure. So, you should not bill Vital examination separately when performed with any procedure or therapy.

Marilyn Posted Fri 28th of August, 2015 11:58:02 AM

Would like to bill an E/M code instead of 90792 but sinced patients vitals are not taken, my question is, can we or can we not bill initial visit with for example "99205" instead of "90792"?

SuperCoder Answered Mon 31st of August, 2015 01:56:20 AM

You can bill E/M visit code 99205, if your document meets the below mentioned requirement, Office visit, New patient, Comprehensive History, Comprehensive examination and MDM of high complexity. If you document meets comprehensive examination (8 organs) still even vitals are not captured, you can bill 99205.

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