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Coding “Routine” Office visits: 99213 or 99214?

52 | FAMILY PRAC TICE MANAGEMENT | | September 2005dAvE P LuNkE R T data show that family physicians choose 99213 for about 61 percent of visits with established Medicare patients and choose 99214 only about 23 percent of the time for the same type of So 99213 must be the correct code to use for a routine visit, right? Not necessarily. Many of us may be shortchanging ourselves by reflex-ively Coding a routine Office visit as 99213 when the clinical circum-stances of the encounter justify the higher-level code. We have developed Coding habits based on the misconception that repetitive, routine clinical Peter R.

the one in the E/M guidelines. It only takes ... site devoted to physician-to-physician E/M coding education. Conflicts of interest: none reported. ... (except cardiac catheterization or echo) 1

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