Hi John,

Over the years I have had % 99214 (vs 99213) increase gradually. Ironically, I think it took even a further jump since starting the MU garbage. As long as I list and "address" 3 problems, I think the 99214 is justified, especially for a 3 or 4 mo recheck.

Earlier rechecks, esp to address just 1 item ( BP med adjustment ), are typically 99213. Sore throat/sinus infection/sore knee are typically 99213, UNLESS they also need BP meds adjusted etc.

I'm not billing a lot of annuals, usually bill 99214 based on problems addressed.

Major/int joint injections typically 99213 plus procedure code, unless other problems addressed, then 99214 and injection.

Very few 99215s

Most initial visits 99203s.

Gene

Gene Nallin MD solo family practice with one PA Cumberland, Md