arbucklej
Contributor
Hello,
I am doing research on what types of procedures are NOT significantly separate and are typically performed as part of an exam. So far my research has led me to the following types of services that a LOS is billed instead of the procedure:
1. Pap smears when a patient presents with signs and symptoms.
3. Acuity and instrument-based ocular screenings are part of a GOS exam
4. Non-diagnostic anoscope
Possible procedures and services that might be considered:
Dermabond or simple stitch laceration repair
My question is, are there any other things to add to this list above, and/or can anyone direct me to where I can find out? So far I've looked at some of Coding Clinic, the forum here on the AAPC website, CPT book coding guidelines, and a few articles here:
Coding Preventative Care (aap.org)
How to properly code for a pap smear (aafp.org)
I'm having issues with my webinar subscription (is anyone else?), so I haven't looked there yet but wanted to watch these to find anything relevant:
TIA!
I am doing research on what types of procedures are NOT significantly separate and are typically performed as part of an exam. So far my research has led me to the following types of services that a LOS is billed instead of the procedure:
1. Pap smears when a patient presents with signs and symptoms.
Side note: a collection of specimens via pelvic exam is included in preventative medicine codes.
2. Blood pressure and eye pressure checks3. Acuity and instrument-based ocular screenings are part of a GOS exam
4. Non-diagnostic anoscope
Possible procedures and services that might be considered:
Dermabond or simple stitch laceration repair
Side note: before 2023, removal of sutures and staples was part of an office visit but now are add-on codes 15853 and 15854 that can be billed separately (with appropriate documentation).
If anything I mentioned above is INCORRECT, please tell me! My question is, are there any other things to add to this list above, and/or can anyone direct me to where I can find out? So far I've looked at some of Coding Clinic, the forum here on the AAPC website, CPT book coding guidelines, and a few articles here:
Coding Preventative Care (aap.org)
How to properly code for a pap smear (aafp.org)
I'm having issues with my webinar subscription (is anyone else?), so I haven't looked there yet but wanted to watch these to find anything relevant:
TIA!
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