Could really use some help in understanding when screening codes can be used. I was under the impression that they can only be used during a preventive care visit. Please help me understand. How should this visit be coded?
In HPI, Physician documented patient came in to establish care. Patient complains of back pain.
Full exam is taken.
In Assessment/Plans the physician documents the following diagnosis:
back pain 724.5
polydipsia 783.5 (lab - 83037, w/36416)
polyuria 788.42
peri-menopause 627.2
screening for colon cancer V76.51
screening for mammogram V76.12
screening for thyroid disorder V77.0 (labs 80061, 86141)
screening for lipoid disorders V77.91
screen, endocrine/nutrition/mtb disord V77.99 (lab 80053 w/36415)
encounter to establish care V65.8
Mentions patient is not yet diabetic but has symptoms, will discuss diet/exercise changes at next visit and will also go over labs and do her well woman exam.
In HPI, Physician documented patient came in to establish care. Patient complains of back pain.
Full exam is taken.
In Assessment/Plans the physician documents the following diagnosis:
back pain 724.5
polydipsia 783.5 (lab - 83037, w/36416)
polyuria 788.42
peri-menopause 627.2
screening for colon cancer V76.51
screening for mammogram V76.12
screening for thyroid disorder V77.0 (labs 80061, 86141)
screening for lipoid disorders V77.91
screen, endocrine/nutrition/mtb disord V77.99 (lab 80053 w/36415)
encounter to establish care V65.8
Mentions patient is not yet diabetic but has symptoms, will discuss diet/exercise changes at next visit and will also go over labs and do her well woman exam.