Billing E/M code for new pt STD screening only

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30
Location
Douglas, AK
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0
Our provider sometimes sees new patients at our walk-in clinic who only want STD screening and have no symptoms. An ROS and brief exam are always done. Can I bill an E/M code for these cases or just the lab draw?
 

Pathos

True Blue
Messages
680
Location
Beaverton OR
Best answers
1
If the intent was solely to get a STD Screening done, without ANY symptoms then this is either a preventive visit or a lab draw. In order to bill an office E/M (99201-99245), then there has to be a problem or a symptom for the provider to manage.

If there is another problem that is unrelated and separate to the STD Screening (for example, headache), then you could bill an E/M with Modifier 25 appended.

Hope that helps!
 
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