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You are here: Home / Articles / Coding Corner Answer

Coding Corner Answer

July 1, 2009 • By Staff

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Answer: 99213 Diagnosis: 715.96

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This is an established patient outpatient/office visit and should be coded as 99213 because it included:

  • An expanded problem-focused history, history of present illness: five elements, review of systems: two systems reviewed, and past family and social history: not addressed;
  • Detailed-focused examination: five systems; and
  • Straightforward decision making: one stable problem improving, moderate overall risk for prescription drug management, and no diagnostic studies ordered.

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

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