Correct coding/billing of a CDL physical

khristinelouise

Networker
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I have a new job at a clinic where they are coding CDL physicals as a sick visit -99214- with the dx of Z02.4 and billing it to the patients insurance and most of our contracted insurances are paying for them. They also have patients who come in for a pre-travel visit when they are going out of country on vacation and they bill that as a sick visit also. Can anybody give me some guidance on this? Some documentation other than just my word that this is incorrect?
 

CodingKing

True Blue
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3,955
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Sounds like a payer error. Exams for administrative purposes are excluded from most commercial and Medicare advantage payers.
 
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