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WHICH LEVEL E/M CODE TO USE?

Bernadette Posted Fri 05th of July, 2013 19:33:19 PM

Hello,

A patient of ours had gone to an E.R. for a laceration on his finger. The E.R. had done sutures for the laceration. We are a pediatric PCP and a patient came in for a suture removal. While the pt was here, he also asked if his knee could be checked by the doctor, which the doctor did. Normally, if it is just a suture removal(that we did not do) , we would bill a level 1(99211)or 2(99212)for the suture removal however, now that the doctor did the suture removal and then checked a another symptom, could we bill a level 3 (99213)?

Thanks!

SuperCoder Answered Sun 07th of July, 2013 21:40:59 PM

Yes that higher code choice would be appropriate given these circumstances depending on the knee problem. The two presenting problems would justify a level 3..

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