Quick Answer: How Do You Code For Follow Up Visits?

What is the ICD 10 code for lab results?

Person consulting for explanation of examination or test findings.


2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes..

What is the difference between CPT code 99212 and 99213?

CPT Code 99212 is a level two code. … For CPT Code 992213, an outpatient or inpatient office visit that is considered to be a mid-level visit can be billed with this code. CPT Code 99213 can only be used for an already established patient. It is a level 3 code.

What is the allowed amount for procedure code 99213?

The most common codes a doctor will use for follow up office visits are 99213 (follow up office visit, low complexity) and 99214 (follow up office visit, moderate complexity). A 99213 pays $83.08 in this region ($66.46 from Medicare and $16.62 from the patient).

What is CPT code 99213 used for?

CPT Code 99213 can be utilized for a mid-level outpatient or inpatient office visit. CPT Code 99213 is a level three code that should be used for an established patient. It cannot be used with a new patient who has no history.

Does 99213 need a modifier?

If the circumstance calls for a Level 3 established patient visit (CPT code 99213) to be billed with psychological testing (such as CPT code 96101), modifier 59 would be appended to the testing code.

What is considered a follow up visit?

follow-up visit in British English (ˈfɒləʊˌʌp ˈvɪzɪt) medicine, social welfare. a visit made as a follow-up to an initial visit. Patients still typically wait 20 days for a routine follow-up visit.

What is the difference between follow up and aftercare?

Follow-up. The difference between aftercare and follow-up is the type of care the physician renders. Aftercare implies the physician is providing related treatment for the patient after a surgery or procedure. Follow-up, on the other hand, is surveillance of the patient to make sure all is going well.

Can Z codes be used as primary diagnosis?

Z codes are for use in any healthcare setting. Z codes may be used as either a first-listed (principal diagnosis code in the inpatient setting) or secondary code, depending on the circumstances of the encounter. Certain Z codes may only be used as first-listed or principal diagnosis.

What are the 3 R’s of a consultation?

The “Three R’s of Consultations” include documentation of the request, rendering of the service and report back. The report should be some formal communication to the requesting professional.

What does F U PRN mean?

return if any problemsWhen no specific follow-up is required, a “return if any problems” (specific problems can be noted if needed) or just f/u PRN in the note means the doctor gave the patient the responsibility to decide when to return.

What type of code is 99213?

CPT® 99213, Under Established Patient Office or Other Outpatient Services. The Current Procedural Terminology (CPT®) code 99213 as maintained by American Medical Association, is a medical procedural code under the range – Established Patient Office or Other Outpatient Services.

What is the ICD 10 code for follow up?

Therefore your ICD-10-CM codes are Z09 (Encounter for follow-up exam after completed treatment for conditions other than malignant neoplasm) and if you choose to also code the personal history, report Z86. 69 (Personal history of other diseases of the nervous system and sense organs) as a secondary code.

What are aftercare codes?

These codes represent the reason for the encounter, service or visit, and the procedure must be reported with the appropriate procedure code. Aftercare codes are found in categories Z42-Z49 and Z51. Aftercare is one of the 16 types of Z-codes covered in the 2012 ICD-10-CM Official Guidelines and Reporting.

What is the difference between office visit and outpatient?

Services provided in the office are paid at a higher rate to allow for the additional expense for the provider to deliver services in that setting. When the physician works in the outpatient setting, these expenses are absorbed by the hospital, so the reimbursement by the payers is less.

When should aftercare codes be used?

Aftercare visit codes cover situations in which the initial treatment of a disease has been performed but the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease. ICD-10 makes two important points about the use of aftercare codes in the final chapter.