Welcome!

Welcome to my blog, a place to explore and learn about the experience of running a psychiatric practice. I post about things that I find useful to know or think about. So, enjoy, and let me know what you think.


Showing posts with label 99214. Show all posts
Showing posts with label 99214. Show all posts

Sunday, December 9, 2012

Quick CPT Link

I just want to refer anyone who is interested to the blog, Shrink Rap, for 4 quick video tutorials on CPT and E&M coding.
And a shout out to Dinah for mentioning Psych Practice at the end of the last video.
The videos are clear, and Dinah claims they're boring, but they're not because of her fun style.

Friday, November 30, 2012

I Was Inspired

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.