Incident-to Billing
Example A:
A 68-year-old established male patient presents for a follow-up visit for osteoarthritis and painful swollen knees. His physician was on vacation and the other physician was with another patient, so he was seen by the nurse practitioner. The visit was an established problem-focused history, an expanded problem-focused examination, and a medical decision making of low complexity.
Example B:
A 68-year-old female came in for an initial office visit for evaluation of severe joint pain in her left knee. The patient was scheduled to see the rheumatologist, but he was occupied with another new patient. The patient did not want to wait and agreed to see the nurse practitioner on staff. The E/M visit had a comprehensive history, a detailed examination, and medical decision making of moderate complexity. X-rays and labs were ordered and the patient was scheduled for a follow-up visit with the rheumatologist.
How would you code these scenarios?
