1. A 68-year-old new female patient has an appointment to see the rheumatologist in four days. The patient has her medical records sent over from her primary care physician, neurologist and endocrinologist for the rheumatologist to review prior to the visit. Upon receipt, the rheumatologist spends 55 minutes reviewing the records and making notes. Can the physician bill for the CPT code 99358 and include it in the determination of the medical decision-making level?
Explore this issueDecember 2017
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2. What is the ICD-10 code for multiple joint pain?
d. None of the above
3. What is the drug administration CPT code to bill for denosumab?
4. A patient returns to the office for an infliximab infusion. The physician examines the patient to clear them for the infusion. Can an evaluation and management visit be billed along with the infusion CPT code?
5. The physician’s office receives a notice of a Zone Program Integrity Contractor (ZPIC) audit. What should be done about this situation?
a. Immediately notify the physician, comply with the requests, look into obtaining outside counsel and contact the ACR.
b. Just set it on the pile with the other audit request(s) and get to it when you can.
c. Bury your head in the sand.
d. Send part of the notes to make sure you give them something to review and send the other materials at your convenience.