Hi — you raise some very valid concerns, and I think you’re wise to question what you’re seeing. It does sound like using 99334 for every established patient without a new, separately identifiable problem could be questionable, particularly if it’s always for the same issue (mycotic toenails). And billing 94760 (pulse oximetry) on top of E/M plus procedural codes, especially when there’s no documentation for medical necessity, could indeed be seen as unbundling.
Before jumping to conclusions, though:
- Make sure the company’s billing/coding policy is clearly documented — sometimes internal guidance differs from what you were taught before.
Ask if there’s an internal audit trail or coding compliance process — your worries about over‑billing are serious, and you’re right to want clarity.
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