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99205 0r 215

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It is rare that I would ever bill these codes not based on time. The

only times I have found it reasonable to use these codes by medical

decision making (i.e. risk and other things) was when I recommended

the patient be admitted for hospitalization and they refused!

To the argument before that " what would I use for a higher code for

chest pain patient if I use a 203/214 on a sore throat, " I don't think

that's important-I don't need a higher code for the more complex

patient that takes about the same amount of time. In my way of doing

things, the WORK involved is about the same. And, the beautiful part

is, both involve very thorough, patient-satisfied care which probably

saves money in the long run.

C. Brown, M.D.

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