Forum - Questions & Answers

Aug 10th, 2016 - jabernal

Sick with Well Visit

During a pediatric well exam a sick visit is billed as well as the preventive because the patient is already diagnosed with ADHD and the physician feels that a lot of time is spent discussing ADHD. There is no change in meds and the condition is stable, no change in anything. Does this justify billing a separate 99212-99215 visit with the preventive?

Aug 15th, 2016 - hartfordbiller 2 

re: Sick with Well Visit

I don't think you can bill an additional code if the condition is stable and no changes are reported.

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