Tuesday, May 26, 2009

Do you risk stratify?

When you have a new patient, do you do a Framingham or Reynolds risk calculation?

When you have a postpartum follow up, do you do a depression screen?

When you have a geriatric patient, do you do a safe driver evaluation?


If you do any of these things, then you qualify to bill for a 99420. 

A Wha? Yes, most coders that I have asked have no clue what this code is. 
99420 is defined by the AMA as "Administration and Interpretation of health risk assessment instrument"

All of my new patients get a Reynolds Risk upon return visit after I have their labs to calculate this risk.....

They all get billed for a follow up patient visit AND a 99420. They may also get other services, but they ALL get a Reynolds Risk.  

Why? It helps me know when to treat lipids and what preventative therapy to use. So why oh why wouldn't you use these tools? In fact, I argue it is the standard of care to use these tools......

And Now, you can bill for it. And get paid!

Want to join us? Want to put the 5 billion dollars spent on coders back into your pockets? Email us at modifier25@gmail.com

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