Medical Coding

Category - Evaluation and Management

A young college student uses email to communicate with her family physician because she is living away from home. She has developed acne while she has been away from home and various over-the-counter medications are no longer helping. She sends her physician an email requesting a prescription because she won’t be able to come back to see him until the next school holiday, which is in 2 ½ months. The physician copies her email into her electronic medical record and sends a prescription for medication to the pharmacy nearest to her. He also copies his response to her through email into her electronic medical record as well, documenting his care. What is the correct evaluation and management code for this type of an encounter?
  1. 99441
  2. 99442
  3. 99444
  4. 99446
Explanation
Answer: C - 99444 is the correct code for this type of an online medical evaluation encounter because it does not originate from a related E/M service provided within the previous seven days.
Codes 99441 and 99442 are codes used for non-face-to-face telephone services. Code 99446 is not correct because this code refers to interprofessional telephone/internet consultations.
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