In my last post, I simplified the leap from 99212 to 99213:
99213 = 6 exam elements and 1 ROS
So I started to wonder if I could have an equally simple mantra for 99214.
Well...not really.
But let me see what I can do.
The problem is that for a 99214 exam, you need 12 elements from 2 or more organ systems. Not gonna happen. So the Exam is not going to help here, which leaves History and MDM.
History:
You need a Detailed History, which includes 4 elements of HPI, 2 ROS systems, and 1 PFSH.
Can I make that easy for myself?
Hx x 4, Psych + 1, and Allergies.
Not so easy.
The good news is that MDM is not that hard. Either 1 worsening condition or 2 stable conditions counts.
So for MDM: 1 worse or 2 same.
And here's the 99214 Montra:
99214 = Hx x 4, Psych + 1, Allergies, 1 worse or 2 same
Not really jingle-worthy, but could be worse. Could be raining.