Practice Quiz

Medical Coding

Category - Medicine

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The physician ordered tests to evaluate a three-year-old patient for cystic fibrosis. The test results came back as suspicious so the physician ordered additional tests to confirm the diagnosis. The physician ordered his nurse to call the patient’s parents to discuss the patient’s results and any other recommended tests. The phone conversation lasted 20 minutes during which time the nurse scheduled a follow-up appointment for the next morning at 10:00 AM. How should you report the telephone services for this phone call?
  1. No telephone consultation service code should be reported
  2. 98967
  3. 98968
  4. 99442
Explanation
Answer: A - No telephone consultation service code should be reported because the call resulted in an appointment the next day. The code 98967 (Telephone Assessment and Management Services Provided by a Qualified Non-Physician HealthCare Professional to an Established Patient, Parent, or Guardian not Originating from a Related Assessment and Management Service Provided within the Previous 7 Days nor Leading to an Assessment and Management Service or Procedure within the Next 24 Hours or Soonest Available Appointment).In this case, the 11-20 minutes of medical discussion should not be reported because the telephone conversation resulted in an appointment the next morning.
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