EXPLANATION OF ABBREVIATIONS

PF / PROBLEM FOCUSED
D / DETAILED
EPF / EXPANDED PROBLEM FOCUSED
C / COMPREHENSIVE
SF / STRAIGHT FORWARD
MC / MODERATE COMPLEXITY
LC / LOW COMPLEXITY
HC / HIGH COMPLEXITY
BILLING CODES (all are preceded by 99)
LEVEL /

I

/ II / III / IV / V
HISTORY / PF / FPF / D / C / C
EXAM / PF / EPF / D / C / C
DECISION / SF / SF / LC / MC / HC
HOSPITAL ADMIT / 221
(100) / 222
(150) / 223
(200)
HOSPITAL daily visits / 231
(60) / 232
(90) / 233
(120)
Observation D/C same day / 234
(100) / 235
(150) / 236
(200)
Observation D/C next day / 218 (100) / 219 (150) / 220 (200)

Billing and Coding Outside of the Office

Method of Medicos-Family Medicine Specialists

()

Opinion of Wm. MacMillan Rodney, M.D., FAAFP, FACEP

Update June 2009

Patient:______Sex: F M

Birthdate: ___/___/___ MRN/SSN:______

LOCATION: ______ROOM:______

ADMIT DATE:______DISCH DATE:______

ATTDG MD:______

Consultations Requested:______

DATE*
CODE
CODE
CHARGE

*For more than 7 days, attach another sheet

DIAGNOSIS (see ICD-9 codes on Please list = or < 4 diagnoses for adult medicine cases.)

1
2 /

PROCEDURES PERFORMED

1
2
3
4
99464 ($100) / Stand-by for baby –FP-OB can charge
59020 ($100) / Stress Test; i.e. Monitor during Labor
59025 ($100) / Non-Stress Test Pregnancy
59510 $3500 / Global w/Csxn
59409 $1900 / Delivery Only [and postpartum care]
59514 $2300 / C-section Only
59812 $800 / Dilation & Curettage
59400 ($3000) / Vaginal delivery/Global
54150 ($200) / Circumcision, newborn
59514 ($300) / Cesarean section assist (-80 modifier)
99356 ($150) / Extended time 1st hour
99357 ($100) / Each additional hour
ICD-9 False Labor = 644.03

Attending MD/DO- Print Name/ Signature: Date:

INITIAL CONSULT / 251
(70) / 252
(100) / 253
(150) / 254
(200) / 255
(250)
ER / 281
(40) / 282
(70) / 283
(100) / 284
(150) / 285
(200)
LTCF ADMIT Nursing Home / 301 (100) / 302 (150) / 303
(200) / Disch 315 / Disch 316
LTCF VISITS Nursing Home / Recert
311
(50) / 312
(80) / 313
(110)
HOSP Discharge <30 min / 238 (100)
HOSP Discharge >30 min / 239 (150)
NEWBORN Day 1 / 99460 (100)
NEWBORN each daily exam / 99462 (100)
NEWBORN d/c day of deliv / 99463 (150)
NEONATAL Attendance; Resus for apgar<7 is more / 99464 (100)
ICU (1ST HR) 30-74 min / 291 (200)
ICU (EA ADDL 30 MIN) / 292 (100)