annual

  1. H

    contraception initiation

    I understand that birth control counseling is included in the preventative visit. If the patient is counseled and decides on a new form of contraception should that go on a separate E/M? That is how I have been instructed to do it, which seems wrong to me. Does the insurance company still pay...
  2. L

    Preventative Visits

    I'm really confused here. Hope someone can help. How do you bill for a preventative visit (ie: 99396) when it should include a comprehensive history and exam when the requirement for a comprehensive physical includes a CC and 4 or more elements of HPI or status of 2-3 chronic conditions? See...
  3. S

    Gyn Wellness exams

    If anyone could clear up an issue with the coding a GYN Annual exam, Z01.419/11 and a general annual exam, Z00.00 at the same time. In GYN/OB would one ever code both. Or are you suppose to code both or not. So confused on this. Is there written guidelines anywhere for proof on this issue? Jeanne
  4. D

    Coding an annual wellness exam for Medicare patient and the Pap smear

    There is a discussion in our office about billing for Pap Smear on a Medicare pt. There is a problem in understanding the Medicare preventative coding of a Pap Smear. We received many denials recently because we were billing the 88175 with codes Z01.411 or Z01.419. They were denied due to the...
  5. Y

    Medicare Mammogram Diagnosis Z12.31 or Z12.39

    I just received a notice that the diagnosis we used for a routine annual mammogram Z12.31 is not billable under Medicare. What diagnosis code should be used?
  6. C

    Billing an annaul & E/M at the same time.

    It is my understanding that the annual exam needs a complete past, family & social history. pt. also has a level 4 (99214) illness, how do you separate the history for the annual and the E/M code?
  7. N

    Wiki Annual exam with screening test for sti code z11.3

    Please help i have read the guidelines in icd-10 about 10 time and i can not find the answer. Patient comes for an annual exam z00.00 or z01.419 and the provider orders sti test. In icd-9 we used v74.5 screening for sexually transmitted disease. In icd-10 i used z11.3 encounter screening for...
  8. N

    Annual exam with screening test for sti code z13.4

    Please help i have read the guidelines in icd-10 about 10 time and i can not find the answer. Patient comes for an annual exam z00.00 or z01.419 and the provider orders sti test. In icd-9 we used v74.5 screening for sexually transmitted disease. In icd-10 i used z11.3 encounter screening for...
  9. S

    Incident To Rules and the WWE

    I have researched this without success... "Incident To" guidelines state that the physician must personally treat the patient on the patient's first visit to the practice or treat any established patient who comes to the office with a new medical condition. NPPs may provide follow-up care. How...
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