MAY 15, 2018
Changing Billing Pattern of Exam Coding
Question: Our physician has consistently used E/M codes on almost all new patients. However, he’s now using Eye visit codes more often. Will this shift in coding raise any red flags?
Answer: Remember audits happen most often where your volume is. Change in billing patterns can be a flag, but it doesn't mean you are billing inappropriately. Remember E/M 99204 and Eye visit code 92004 are not equivalent.
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