Billing: Difference between revisions
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===History of Present Present Illness Illness (HPI)=== | |||
*Location | |||
*Severity | |||
*Timing | |||
*Modifying Factors | |||
*Associated Associated Signs and Symptoms Symptoms | |||
*Onset | |||
*Quality | |||
*Duration | |||
===Past Medical, Family, Family, Social History=== | |||
*Past Medical | |||
**Past Illnesses | |||
**Major Injuries | |||
**Surgical History | |||
**Hospitalizations | |||
**Immunizations | |||
**Feeding/Dietary | |||
*Family History | |||
**Health Status | |||
**Deaths | |||
**Hereditary Diseases | |||
*Social History | |||
**Drug, etoh , tobacco | |||
**Employment | |||
**Marital Status | |||
**Sexual History | |||
==RVU For Level of Service<ref>http://www.acep.org/Clinical---Practice-Management/Top-20-ED-Reimbursement-Codes-2016/</ref>== | ==RVU For Level of Service<ref>http://www.acep.org/Clinical---Practice-Management/Top-20-ED-Reimbursement-Codes-2016/</ref>== | ||
Revision as of 22:31, 22 January 2017
CMS Requirements for Billing
| 99281 | 99282 | 99283 | 99284 | 99285 | |
| Level1 | Level 2 | Level 3 | Level 4 | Level 5 | |
| HPI | 1 of 8 | 1 of 8 | 1 of 8 | 4 of 8 | 4 of 8 |
| ROS | 0 | 1 | 1 | 2 | 10 |
| PMHx, FamHx, Social Hx | 0 | 0 | 0 | 1 | 2 |
| PE | 1 | 2 | 2 | 5 | 8 |
| MDM | Straight‐forward | Low Complexity | Moderate Complexity | Moderate Complexity | High Complexity |
History of Present Present Illness Illness (HPI)
- Location
- Severity
- Timing
- Modifying Factors
- Associated Associated Signs and Symptoms Symptoms
- Onset
- Quality
- Duration
Past Medical, Family, Family, Social History
- Past Medical
- Past Illnesses
- Major Injuries
- Surgical History
- Hospitalizations
- Immunizations
- Feeding/Dietary
- Family History
- Health Status
- Deaths
- Hereditary Diseases
- Social History
- Drug, etoh , tobacco
- Employment
- Marital Status
- Sexual History
RVU For Level of Service[1]
- 99281 (Level 1) = 0.60 RVUs
- 99282 (Level 2) = 1.17 RVUs
- 99283 (Level 3) = 1.75 RVUs
- 99284 (Level 4) = 3.32 RVUs
- 99285 (Level 5) = 4.90 RVUs
- 99291 (Critical Care) = 6.31 RVUs 1st hr
- Critical Critical care can be coded when the total duration duration of time spent by a provider in providing critical care services to a critically ill or critically injured patient is at least 30 minutes, even if the time spent is not continuous.