preventative exam

  1. S

    Wiki What is happening with Modifier 33?

    I work in a GI clinic, and we use modifier 33 and modifier PT all of the time. I am now getting claim rejections for these modifiers, that the procedure codes we are using are inconsistent with the modifier used. How are we to let insurances know that these are preventative services?
  2. N

    Wiki Preventative visit with additional coding

    I have a medical chart where patient came in for "well woman" exam; however medications were ordered for Asthma, Anaphylaxis, and Seasonal allergies. Provider goes over the asthma briefly in the subjective part of the encounter - then goes over all 3 within the "plan" part of the encounter -...
  3. M

    Wiki AWV and Prev code for MA plan

    Hi there, can someone please point me in the right direction on how to properly educate a medical director regarding the use of G0438/G0439 and a 9938X code on a same day visit. I believe there are very specific points of documentation that must exist in order to satisfy the submission of both...
  4. B

    Wiki Normal vs. Abnormal Exam

    Hello, This is my first post on the AAPC forum. I've reviewed the ICD-10 coding guidelines as well as information regarding coding for pediatric preventive care from the AAP. I can't find a clear cut answer to my question. Does an abnormal finding have to be something that's found on the...
  5. K

    Wiki To bill Preventative or Not to bill Preventative???

    I'm running into issues billing for several of my sites... The doctors will have the CC as "follow-up" or "routine" sometimes even "dm check 6-months" and there is always a full workup but the doctor puts like, 7-10 diagnosis codes in there, usually insignificant things like HTN, DM, obesity...
    • KCORBETT92
    • Thread
    • e/m prevent preventative preventative exam z00.00
    • Replies: 2
    • Forum: E/M
  6. H

    Wiki Annual Exam

    I work for an outpatient OB/GYN Center. Most of our patients are Medicaid patients. If a patient had a preventive visit last year but pap was not due, can I code a preventative visit this year if the PAP was done? My providers are telling me Medicaid will only allow a preventive visit every 2...
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