Originally Posted by Tomastoria
The question I have is how often we will be able to code "non-specific" codes.
Like, instead of trying to justify "acute suppurative otitis media of right ear with perforation of TM" -- how about just "unspecified upper respiratory infection of unspecified site"
What is the difference as far as E&M code is concerned? It's still going to be 99212 or 99213.

And what insurance company is going to look at all office records to see if we have documented everything that was coded?

I think this will lead to claims denial in outlier situations -- people who code large % 99215, or maybe some of the procedural codes.

I'm hoping to slide through this -- or I may find myself a different job.


With ICD-10 if we use lots of non-specific codes it will be a red flag for an audit.


John Howland, M.D.
Family doc, Massachusetts