
Choose your specialty from the list below to see how our experts have tackled a wide range of client questions.
Looking for something specific? Utilize our search feature by typing in a key word!
E/M Level When Patient is Non-compliant With Treatment Advice
An established patient presents to my office with severe exacerbation of an existing condition, and I recommend they be urgently transferred to the ER for admission. The patient refuses and prefers to leave against my medical advice. May I still bill a level 5 E/M for a high level problem that requires hospitalization and urgent intervention?
Question:
An established patient presents to my office with severe exacerbation of an existing condition, and I recommend they be urgently transferred to the ER for admission. The patient refuses and prefers to leave against my medical advice. May I still bill a level 5 E/M for a high level problem that requires hospitalization and urgent intervention?
Answer:
Yes. If a visit MDM would equate to a level 5 visit (e.g. 99215) based on the presenting problem (severe exacerbation) and risk (urgent admission with intervention), patient non-compliance with a provider’s medical recommendations does not preclude the provider from billing the appropriate level E/M.
*This response is based on the best information available as of 5/8/25.
E/M for an Acute Problem
How do we code for a new patient seen in the office with RUQ upper quadrant discomfort with suspected cholecystitis and an order for ultrasound?
Question:
How do we code for a new patient seen in the office with RUQ upper quadrant discomfort with suspected cholecystitis and an order for ultrasound?
Answer:
A new patient with an acute problem (or “suspected” may be viewed as undiagnosed), with minimal data (order) and minimal/low risk for the ultrasound, would be 99203.
*This response is based on the best information available as of 4/24/25.
Laparoscopic Mobilization of Splenic Flexure With Open Colectomy
Our provider began a laparoscopic procedure for colectomy and completed the mobilization of the splenic flexure laparoscopically but then needed to convert to an open procedure to perform the colectomy. What is the correct coding for laparoscopic mobilization of the splenic flexure with open colectomy?
Question:
Our provider began a laparoscopic procedure for colectomy and completed the mobilization of the splenic flexure laparoscopically, but then needed to convert to an open procedure to perform the colectomy. What is the correct coding for laparoscopic mobilization of the splenic flexure with open colectomy?
Answer:
When a laparoscopic procedure is converted to an open procedure, you can only code for the open procedure, so in this case, only code for the appropriate open colectomy code; the laparoscopic mobilization of the splenic flexure is not separately billable.
*This response is based on the best information available as of 4/10/25.
Inpatient Consultation Coding for Medicare
If you see a Medicare patient for the first time in the hospital as an inpatient consultation, what code would you bill for the EM?
Question:
If you see a Medicare patient for the first time in the hospital as an inpatient consultation, what code would you bill for the EM?
Answer:
The EM would be reported as an Initial hospital or observational care codes (99221-99223) with the appropriate level based on MDM or Time. Medicare does not allow payment for inpatient consultation codes 99252-99255.
*This response is based on the best information available as of 3/27/25.
Esophageal Sphincter Augmentation for GERD
How is esophageal sphincter augmentation for GERD reported?
Question:
How is esophageal sphincter augmentation for GERD reported?
Answer:
Report CPT code 43284 for laparoscopic placement of the augmentation device (i.e. magnetic band). CPT code 43285 is reported for subsequent removal of the device.
*This response is based on the best information available as of 3/13/25.
Abdominal Hernia Defect Size
Our general surgeon often does not include the size of the abdominal repair in his documentation; can we use the pathology report to determine the correct size for CPT selection?
Question:
Our general surgeon often does not include the size of the abdominal repair in his documentation; can we use the pathology report to determine the correct size for CPT selection?
Answer:
No; the provider must document the hernia defect size within his/her operative report details to accurately select the correct CPT code. The pathology report would likely represent the tissue size, which would not necessarily correlate to the defect size. Best practice is to send a query to the provider asking him/her to add an addendum to the operative report, adding the defect size and advise that this information is required in the documentation.
*This response is based on the best information available as of 2/27/25.