Questions for Dr. Stern
About Your Urgent Care Center
12. Would you tell me what CPT code would be the appropriate code to use for a follow-up visit for strep? This patient came in initially for sore throat, the strep test was negative. The patient returned 3 days later to get a positive reading on the strep test.
As always, the level of code will be determined by what the physician did and the level to which it was documented. If the physician did not examine the patient but the visit was dominated by counseling, the visit could be coded by the time spent face-to-face or as a 99212 to 99214, depending on whether the patient was stable or worsening or had a new problem. If a complete history was performed and the physician did examine the patient, the examination might determine the code level, which could be at any level.
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David Stern, MD, CPC
CEO, Practice Velocity
Partner, Physicians Immediate Care
Board Member, Urgent Care Association of America
Dr. Stern helped design the patented Practice Velocity template (PiVoT) that is now used in over 600 urgent care centers. He is board certified in internal medicine and served as Chief Resident in Internal Medicine at Pennsylvania State University. Dr. Stern received his medical degree from Jefferson Medical College of Thomas Jefferson University after completing undergraduate studies at Houghton College in Houghton, NY. Dr. Stern serves on the Board of Directors of the Urgent Care Association of America (UCAOA). A Certified Professional Coder, Dr. Stern writes articles and presents at numerous national and regional conferences on topics, including medical charting, emr, medical coding and medical practice management. With additional partners of John Koehler, MD (CEO) and Terry Buzzard, MD (Regional Medical Director), they operate the urgent care consulting firm of National Med Network and the ten clinics (in Illinois and Oklahoma) of Physicians Immediate Care.
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