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You are here: Home / Articles / Coding Corner Answer

Coding Corner Answer

August 1, 2009 • By Staff

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The correct way to code this visit is: 99214-25, 20610, J7322 with the diagnoses of 715.96, 787.02.

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This encounter is coded as 99214 because it included:

  • Detailed history—extended history of present illness, extended review of systems, one past family and social history;
  • Comprehensive examination—eight systems; and
  • Medical decision making—moderate complexity (established problem, new problem no additional workup; new prescription drug ordered).

The intraarticular injection of the right knee would be coded 20610.

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Note: The office visit is allowed because the knee injection was a separate and significant problem the patient presented at the time of the visit.

Filed Under: Billing/Coding, Practice Management Tagged With: Billing, Coding, OsteoarthritisIssue: August 2009

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