December 16, 2021

Question:
If a patient has one stable chronic illness and one acute uncomplicated illness without systemic symptoms, can we “up” the level of Problems Addressed to Moderate for a new patient (99202-99205) or established patient (99212-99215)?

Answer:
No, sorry, unfortunately it doesn’t work that way.  The problems are no additive or cumulative.  One stable chronic illness and one acute uncomplicated illness without systemic symptoms is still Low Problems Addressed.

*This response is based on the best information available as of 12/16/21.