Ob-Gyn Coding Alert
Diagnosis Codes Critical for Annual Exam
Question: Our ob-gyn saw a Medicare patient for an annual exam with a Pap smear collection. I coded V72.3 and V76.2. Medicare didn't pay, but it said the patient was eligible to have an annual and Pap. How should I have reported this service? Pennsylvania Subscriber Answer: For this preventive medicine exam, you should have billed G0101 (Cervical or vaginal cancer screening; pelvic and clinical breast examination) for the pelvic and breast examination. And you should have reported Q0091 (Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory) for the Pap smear collection. Link both services to V76.2 (Special screening for malignant neoplasms; cervix). If the patient had no uterus and the surgeon performed the hysterectomy for nonmalignant reasons, you should submit the claim with G0101 linked to V76.49 ( other sites) and Q0091 with V76.2. On the other hand, if the patient had not had a Pap smear in seven years, you would code G0101 and Q0091 with V15.89 (Other specified personal history presenting hazards to health). If you try to bill the preventive medicine codes (99381-99397), note that Medicare never reimburses for this service.
Ob-Gyn Coding Alert
- Diagnostic vs. Screening Mammograms:
One Simple Question Is the Key to Ensure Proper Coding for This Essential Service
When reporting mammograms, determining whether to bill for a screening or diagnostic service depends on [...] - Mammogram Coding Quiz
Test your coding abilities. Review the following clinical circumstances to determine if they meet the [...] - 6 Scenarios Help You Nail Observation Care Coding
Although observation care coding can be complicated and frustrating, you shouldn't overlook it. Clear documentation [...] - Modifiers -78 and -79:
Get the Payment You Deserve When You Go Back to the OR
If an ob-gyn patient has to return to the operating room for additional treatment during [...] - You Be the Coder:
Delivery With Forceps
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Reader Question :
ABN Saves the Day for Category III Code
Question: We have started billing for speculoscopy with 0031T, and we got our first denial [...] - Reader Question :
Eight Hours Required to Report Observation
Question: My ob-gyn admits patients for observation, but the patients occasionally stay for only four [...] - Reader Question :
Modifier -51 Is the Key
Question: The ob-gyn performed an anteroposterior colporrhaphy, Burch urethropexy and bilateral salpingooophorectomy during one session. [...] - Reader Question :
Charge for Additional Surgery During C-Section
Question: During a cesarean section, my ob-gyn repaired the rectus abdominus muscles. Is this included [...] - Reader Question :
Diagnosis Codes Critical for Annual Exam
Question: Our ob-gyn saw a Medicare patient for an annual exam with a Pap smear [...] - Reader Question :
Bill for IUD Removal
Question: My ob-gyn inserted an intrauterine device (IUD) more than a year ago and charged [...] - Reader Question :
Prepare Lysis of Adhesions Claim Carefully
Question: The ob-gyn performed difficult open laparoscopy, hysteroscopy, chromotubation, enterolysis, fimbriolysis, salpingolysis, ovariolysis, hydropertubation and [...]
