Gary sees Dr. G on Monday regarding his atrial fibrillation. Gary is a new patient, and Dr. G performs a comprehensive history, an exam, and moderate medical decision making. Dr. G decides to insert a permanent dual-chamber pacemaker. The pacemaker is inserted on Tuesday. Dr. G sees Gary in the hospital on Wednesday and discharges Gary on Thursday. Which of the following is the correct coding of Gary's visits and procedures for Monday through Thursday?

Question

Quizplus · Accepted Answer

The correct coding for Gary's visits and procedures from Monday through Thursday includes 99204-57 for the initial visit on Monday, which involved a comprehensive history, exam, and moderate medical decision making by Dr. G for a new patient, with the modifier -57 indicating that the decision for surgery was made during this visit. The code 33208 is used for the insertion of a dual-chamber pacemaker, which occurred on Tuesday. The subsequent hospital visits on Wednesday and the discharge on Thursday are not separately coded because they are included in the global surgical package for the pacemaker insertion.

Gary Sees Dr