Re: Anyone knows the stats on CPT coding pattern or % for 99213, 99214, 99215 for PCP MDs?

[Guest guest]

Turns out that every practice thinks that they have the sickest and most complex

patients, but that this does not hold up. However, the average PCP undercodes,

so by trying to get to to be " avearge " is trying to get you to undercode.

An article in AAFP FPM from Dec 2009 show that optimal coding is

99211 2% (assuming you have staff)

99212 8%

99213: 25%

99214: 60%

99215: 5%

On the other hand if you bill much on time, as I do, for psych and things like

DM visit, I hit more along the:

99214 60%

99215 20

99213 10

If you spent 45 minutes doing DM counseling you should get paid for it.

________________________________________

From:

[ ] On Behalf Of Helen Yang

[helenwyang@...]

Sent: Monday, March 07, 2011 10:21 PM

To: IMP Group

Subject: Anyone knows the stats on CPT coding pattern or

% for 99213, 99214, 99215 for PCP MDs?

Please help me.

I have been told by one commercial insurance carrier that my coding pattern did

not match the " national average " .

I have a lot sick and complexed pts with over 90% IM practice and less than 10%

peds. My numbers from the past 253 visits under this insurance:

99213: 17%

99214: 51%

99215: 32%

99354: 12%

Anyone knows the stats on CPT coding pattern or % for 99213, 99214, 99215 for

PCP MDs? Please share the stats information or the link to the info. Thank you

very much for your kind help.

Helen