Wiki Biometric Screening billing

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nneecole44

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This year we have started to have a ton of patients come in for biometric screenings. The only thing addressed at the appointment is ht, wt, bmi, bp, pulse, glucose and lipids. What cpt and ICD-9 is everyone using? I submitted 99450 and this was denied. I have done some research and I have found that the answer varies. Some people use 99450 or 99420 or 99211. With V70.0 or V70.3. I am so confused. Please help. Thank you!
 
I forgot to add that the biometric screenings we are getting are for work, health ins or life insurance. :)
 
We are also wondering what CPT and what dx codes are getting these claims paid. Patients are saying their insurance will pay for it, yet the insurance co. denies the claim. We are billing a level 3 office visit with a V70.5.
 
I haven't seen many of these, but we've been using 99450 and the ones I've checked on out of curiousity are not getting paid by insurance.

If the patients don't have complaints, I'm not sure the E&M codes would be appropriate and because the patient isn't receiving a full physical, the preventative medicine codes don't fit either. Usually, it's a simple form they bring in and no exam is done.
 
I know this is an old thread but commenting about the above comments. No this is not something that is covered under insurance. Physical exams for administrative reasons, such as work, school or purposes of getting life, or other types of insurance are excluded from every policy ive ever run into. You would have the patient sign a notice stating they are aware its not covered and what he fee is for this. Or if they are in for their physical or a sick visit you can bundle it in the E&M and just write it off or just give them free of charge as a customer service gesture

feliciabarrette said:
What ICD-10 code should we use for these Bio-Metric screenings?

Z13.9???
Click to expand...

Id look at the Z02 range
 
Last edited:
CodingKing said:
I know this is an old thread but commenting about the above comments. No this is not something that is covered under insurance. Physical exams for administrative reasons, such as work, school or purposes of getting life, or other types of insurance are excluded from every policy ive ever run into. You would have the patient sign a notice stating they are aware its not covered and what he fee is for this. Or if they are in for their physical or a sick visit you can bundle it in the E&M and just write it off or just give them free of charge as a customer service gesture



Id look at the Z02 range
Click to expand...
Hello, does anyone have an update pn how to bill insurance for biometric screening? Would CPT 99429 (Unlisted preventive medicine service) with Dx Z02.8 or Z00.0?
 
Bio metric screenings are actually part of a yearly physical. The blood work and limited exam that is necessary is done routinely for a yearly physical. This is how we handle them. We either schedule the patient for the yearly preventative physical and, then we fill out the paper work free of charge. If they have had a recent physical at a different practice we give them the option to take the paper work to that provider. if they only want the minimal that it takes for just the bio metric screening then we charge a flat $35.00 cash.
But, we make sure to explain the options to the patient. Most insurance do cover it but only within a yearly preventative physical, as it is part of it.
I think it makes it very confusing for the patient. the key is explaining it up front.
 
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