Behavior
Illness
Split Bill
Potpourri
Cary Peds History
100

Stable ADHD, no med change

What is 99213?

100

2nd ear infection, no fever

What is 99213?

100

9 year old, cholesterol screen, > 95%ile BMI. Routing 

No split bill. 

100

Checkup, Autism (no meds), Crohn's disease (managed by peds GI)

What is document both chronic conditions, and note "Crohn's managed by peds GI"?

100

The year Ted Turner bought the Braves, Carter was elected president, and Cary Peds was established

When was 1976?

200

New diagnosis, ADHD, many questions, new prescription, 35 minutes. Reviewed 2x Vanderbilts with family, not previously billed

What is 99214 plus  2 x 96110?

200

Asthma exacerbation, refilled albuterol

What is 99214?

200

18 month old check up, normal exam, doing fine, incidental ear infection, no long history

What is "consider it", and if so, 99213, and TELL THE PARENTS?

200

8 year old checkup with mod persistent asthma, managed at WakeMed, ADHD, stable, with medications, needs referral to OT. 

What is document MP asthma, managed elsewhere, consider 99213 for ADHD (tell the parents), and if so TELL THE PARENTS?

200

Splintering from Cary Peds, Dr. Teresa Salter established this practice in 1980

What is Triangle Pediatrics?

300

Known ADHD, stable no change, new anxiety, screened PHQ9, referred, no medication, 25 minutes

What is 99214 + 96127 (and maybe soon a 96110)?

300

Acute bronchiolitis with hypoxia transferred to ED via ambulance

What is 99215?

300

10 year old, ADHD, high functioning autism, ADHD, stable on guanfacine, services in place without change. 

What is, consider? If so 99213 and TELL THE PARENTS?

300

7 year old with afebrile strep, "oh by the way" notes what is molluscum, and they decide for cantharadin for treatment

What is 99213 plus procedure codes (billing will handle where the modifiers go...)?

300

The second female partner at Cary Pediatrics, she fought for more maternity leave, including for adoptions!

Who is Renee Johnson?

400

Known and stable Asthma and anxiety, refilled medications. 

99214 + 96127?

400

Fatigue, seen in ED, reviewed labs, all normal, orthostatic (normal) here. Poor sleep discussed, over-scheduling, A week of hydroxyzine to "reset" sleep. 

What is 99214?

400

12 year old, ADHD and Asthma, both stable, needed refills, discussed pretreating exercise with extra dose of Symbicort. 

What is "Split bill, 99214 and TELL THE PARENTS!"

400

Visit for bug bites, not itchy, for weeks, some are red. You diagnose molluscum and treat with cantharadin

What is bill a 99213 for assessment, and then procedure code for treatment? 
400

This Provider, a Duke Grad, is the longest serving provider at Cary Peds. 

Who is Dr. Gallagher?

500

New ADHD, reviewed report before visit, discussed medications and resources, 42 minutes total

What is 99215?

500

Strep +, tired, fever, antibitoics

What is 99214... if you document!?

500
14 year old, obesity, anxiety (new concern), and not sleeping well. Discussed sleep hygiene, getting a therapist, and defined 1 SMART goal, with follow up in three months.
What is Split Bill, 99214, and TELL THE PARENTS?
500

Fifth's disease with a fever, missing daycare, no concerns, discussed course.

What is bill 99213 and document G2211?

500

He was Chair of Pediatrics at WakeMed, and team physician for Cary High School, and gave his personal Harriet Lane from his training at Johns Hopkins to Dr. Bowman. 

Who is Bill Jones?