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Wiki Annual with no pap

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cynannthomas

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If the appropriate code in this case for an annual is 99395, what do I bill if there is an annual with no pap? Thanks!
 
I'm a coder in training and takking a wild guess! Would the code fall under Counseling Risk Factor Reduction and Behavior Change Intervention for New or Established Patient - codes 99401 thru 99404 depending on the face to face time?
 
I don't know for certain, but would you not use the age appropriate H&P but use the dx for routine general exam instead of routine gyno. exam. I don't have my books but that is what I do.
 
cynannthomas said:
If the appropriate code in this case for an annual is 99395, what do I bill if there is an annual with no pap? Thanks!
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If the patient had a routine preventive visit (99395) including a breast and pelvic exam but no pap, the dx code would be V72.31 (general GYN exam with or without pap). If no pelvic exam you would use V70.0.
 
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