Nov 13th, 2013 - ssgillMD
If a patient comes in for evaluation of a skin lesion and I do a complete h/p due to my EMR. If I wait and take off the lesion on another day can I still bill them for a Level 4 office visit due to the complete h/p?
Nov 13th, 2013 - nmaguire 2,606
re: History/physical coding
I doubt it, given your explanation. Why would it be medically necessary to do this high level for a skin lesion? Your EMR does not dictate the level of service, medical necessity does. You can write a book but can only bill what is medically necessary based on the presenting problem(s).