Get Sample Office Visit Coding Cheat Sheet

Filling out the Sample Office Visit Coding Cheat Sheet online is a straightforward process that helps ensure accurate coding for patient visits. This guide will take you through each section of the form, providing clarity and support as you complete your entries.

Follow the steps to effectively complete the Worksheet.

1. Click ‘Get Form’ button to access the Sample Office Visit Coding Cheat Sheet and open it in the online editor.
2. Begin with the patient classification. Determine if the visit is for an established patient or a new patient. This will dictate the coding criteria you must meet.
3. For established patients, refer to the three key criteria: history, examination, and medical decision-making (MDM). You must meet two out of three. Document the details of the history and examination as per the coding levels of 99212 to 99215.
4. In the history section, accurately record the required number of elements under the respective coding level, whether 1-3 for 99212 or 4+ for 99215.
5. Complete the review of systems (ROS) section, which requires different numbers of symptoms reviewed based on the coding level.
6. Fill in past histories, ensuring to enter the correct count of elements as specified for each coding level.
7. Proceed to the examination section, ensuring you meet the necessary physical exam requirements based on the coding level chosen.
8. Finalize the MDM section, clearly indicating the complexity of the decision-making process based on the patient’s condition.
9. If the patient is new, remember to meet both history and examination criteria. Document all required elements from the coding levels 99201 to 99205.
10. After completing all sections, review your entries for accuracy and completeness. You can then choose to save changes, download, print, or share the completed form.

Start filling out your documents online today for better management and accuracy.