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annual physical

kimb

Guest
Messages
65
Best answers
0
when a pt comes in for a physical can you link other codes to the preventive

example:

99396
v70.0
401.1
272.4
v58.69

or would you use an E/M visit for the 401.1, 272.4, V58.69 Trying to clear it up for the physicians. The only diag. code that we link to the 99396 is V70.0.
 

cedwards

Guru
Messages
158
Location
Hamden
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0
If and only if the provider performed a significantly separate service would I link the additional diagnosis to an E/M code. If the conditions were just addressed at the physical I would just link them to the preventative code.
 

jas0426

Networker
Messages
64
Location
NCF Gainesville
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0
I agree with Christina. But definitely, if the provider performed a seperate E/M for the problem focused visit, make sure they are billing that too, with the 25 modifier.
 

tammyboyer

Networker
Messages
35
Best answers
0
annual physicals

Has anyone coded "annual physical" for a 43 YOwomen getting a pap/pelvic as
99396
G0101
DX: V72.31

i have never used the G0101 with my 99396 and recently learned that my Bc/Bs carriers allows it!
 

kimb

Guest
Messages
65
Best answers
0
G0101

Tammy,

I have never used G0101 on commerical ins only on medicare patients. Did not know you could use that code for commerical. I only use v72.31 if it is a complete pelvic and breast exam.
 

kimb

Guest
Messages
65
Best answers
0
G0101

Tammy,

I have never used G0101 on commerical ins only on medicare patients. Did not know you could use that code for commerical. I only use v72.31 if it is a complete pelvic and breast exam. I use v72.46 if it is just a collection of Pap.
 

jas0426

Networker
Messages
64
Location
NCF Gainesville
Best answers
0
I have always been told G codes were Medicare codes. Might want to look into that, BCBS might be asking for that $ back :)
 

rthames052006

True Blue
Local Chapter Officer
Messages
1,905
Location
York, Pa
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0
I have always been told G codes were Medicare codes. Might want to look into that, BCBS might be asking for that $ back :)
You'd be surprised at how many "commercial" insurance recognize those G codes and Q codes. Our office made phone calls to our "top 10" carriers to find out if they reimbursed these codes and more than 2/3 of them do.

I would say to check with your carriers to find out.

Good luck,
 

jas0426

Networker
Messages
64
Location
NCF Gainesville
Best answers
0
Wow, that is so good to know. I will definitely tell by A/R director about this to see where we might be missing out.
 
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