I get paid the same for, say a 99214 encounter, with a dx of 250.00 as I do with a code of 250.60. I must either be doing something wrong or the ICD-9 code serves purely as an identifier for clinicians and epidemiologists (which I believe is why the coding system was devised in the first place.) I can document the complexity of my visit without ever mentioning whether I did the microfilament testing. If I am way out in left field, someone please educate me!!
Leslie