What should an OB‑GYN bill for a routine pelvic exam and Pap smear when the patient has already completed an annual physical with their PCP, and the preventive visit code was billed by the PCP?
In this situation, is it appropriate for the OB‑GYN to bill an E/M service, recognizing that this would typically result in a patient copayment?
If the patient has no complaints, concerns, or problems addressed during the visit, would billing an E/M service be appropriate, or should the service be considered preventive in nature and still be another preventive code?
we are receiving information from our billing department that the preventive benefit was already used with PCP and denying OB-GYN claim for using preventive code.
Help :/
In this situation, is it appropriate for the OB‑GYN to bill an E/M service, recognizing that this would typically result in a patient copayment?
If the patient has no complaints, concerns, or problems addressed during the visit, would billing an E/M service be appropriate, or should the service be considered preventive in nature and still be another preventive code?
we are receiving information from our billing department that the preventive benefit was already used with PCP and denying OB-GYN claim for using preventive code.
Help :/
