Hi all,
When using outpatient billing codes in ED psych consultations, I know you need 2 of 3 categories to be high risk for MDM.
Often, billing a 99215 depends on the “number and complexity of problems” section and marking “• 1 or more chronic illnesses with severe exacerbation, progression, or side effects of treatment” for the presenting problem.
However, if a patient has been there a few days and they’re somewhat improving (e.g reduced suicidality but still deciding on hospitalization, do they still meet “1 or more chronic illnesses with severe exacerbation” because that’s how they initially presented and is the context of their general presentation to the ED?
When using outpatient billing codes in ED psych consultations, I know you need 2 of 3 categories to be high risk for MDM.
Often, billing a 99215 depends on the “number and complexity of problems” section and marking “• 1 or more chronic illnesses with severe exacerbation, progression, or side effects of treatment” for the presenting problem.
However, if a patient has been there a few days and they’re somewhat improving (e.g reduced suicidality but still deciding on hospitalization, do they still meet “1 or more chronic illnesses with severe exacerbation” because that’s how they initially presented and is the context of their general presentation to the ED?