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Wiki Gyn visit

Liza5418

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25
Location
New Braunfels, Texas
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Can anyone out there tell me how to code this scenario:

Patient is 20 years old and comes in for her well woman exam. She only had sex once with a virgin and does not feel the need for a pelvic or breast examination. Doctor is using codes from 99381 - 99397 with V72.31. However, the only physical examination that was done was the "Constitutional" and "Nuerologic/Psychiatric".

Since there is nothing wrong with the patient, how would this be coded? What would be the appropriate CPT and ICD 9 codes? I am stumped.....Please Help! Thanks.
 
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