routine

  1. A

    Wiki Routine Eye Exam vs. Medical

    If a patient comes in for a routine eye exam but the provider finds a medical diagnosis, as a coder I am trying to find backup that shows that unless we treat the patient for said medical diagnosis, we must bill to the vision insurance. Example: Patient comes in for yearly routine visit and...
  2. L

    Wiki E/M vs Preventive Visit

    Patient states was only see for annual physical exam provider billed e/m with diagnosis. The CC & HPI both indicate patient was being seen for annual routine exam and the ROS and Exam portion also support this. Is it reasonable to code a routine physical Z00.00 even though the providers...
  3. L

    Wiki Documentation - HPI both indicate

    If the CC & HPI both indicate pt was being seen for annual routine exam and the ROS and Exam portion also support this. Is it reasonable to code a routine physical even though the providers assessment is Hyperlipidemia? Or would you query the provider to have amended assessment done adding the...
  4. C

    Wiki Routine Laboratories

    Hello, I was really hoping someone can help me obtain the ICD-10 diagnosis code for routine labs? We have several Medicare patients who have had there labs denied because Medicare does not cover routine. What if the patients are healthy and the physician is screening for something that does not...
  5. V

    Wiki Z01.00 vs Z01.01

    I am curious if anyone is having trouble getting Z01.01 processed as a routine visit. For example, patient schedules yearly exam. During exam all findings are normal accept the patient mentions that they occasionally have headaches or dry eye. We are using 92xxx CPT codes and use Z01.01 as the...
  6. T

    Wiki Colonoscopy -know this has probably

    I know this has probably come up several times, but here goes again. A pt came in Aug 2011 for colon w/biopsy 45380 at the age of 62 with UHC insurance and dx for diverticulitis. In 2008 he also had 45385 with UHC for dx blood in stool. He is now 67 and has Medicare and has no symptoms. The...
  7. S

    Wiki When to bill screening codes?

    Lets say a new OB pt comes to our office and they have the routine labs drawn but also want an STD check. Is it necessary to detail each one out? Or would the correct option be to code the Z34.XX code for routine care, a Z36 for antenatal screening, and the the weeks of gestation? Or would I...
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