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it's not billed out separately - (included in the physical) IF that's all they're having is a DRE - (no physical - you can code a 99211)

UNLESS it's Medicare - then you can code G0102 (if the guidelines are met- which can be found the Medicare site)
 
I think we can go with HCPCS S0605. Though Medicare does not cover, some commertial insurance will. The E&M visit code should be appended with 25 modifier when coded with S0605.

Hope this will do.

Have a nice day.
Arul, CPC-A
 
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