Iud insertion

SHERRYDUDLEY

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Richmond, VA
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Can you bill a office visit with modifier 25 along with an annual exam and a iud insertion? Or does the annual exan include the contraceptive counseling?
 

kbarron

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Ossipee, NH
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What was the purpose of the visit? If she came in for the PE and decided that she needed birth control, then I would charge for insertion and the IUD itself, if the office provided it. I would use a 25 also.
 

SHERRYDUDLEY

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Richmond, VA
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She came in for the annual exam and the patient had already decided that she wanted the IUD. SO the appointment was set up for the annual & Iud. Usually we charge a 99213-25 or 99214-25 with the insertion based on counseling time but can we still bill the office visit even though an annual was done?

Second question: If the Iud was discussed at a previous visit and the patient was brought back to the office at a later date to have the insertion can we still bill the office visit?

Thanks for your help!
 
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I would bill the preventative and IUD insertion with no office visit, especially if it had been decided at aprevious date of service to insert the IUD.
 

kumeena

True Blue
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NYMAC
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She came in for the annual exam and the patient had already decided that she wanted the IUD. SO the appointment was set up for the annual & Iud. Usually we charge a 99213-25 or 99214-25 with the insertion based on counseling time but can we still bill the office visit even though an annual was done?

Second question: If the Iud was discussed at a previous visit and the patient was brought back to the office at a later date to have the insertion can we still bill the office visit?

Thanks for your help!
first question: Yes we do bill annual and clinic visit along with modifier 25
Second question: No we don't bill office visit .We bill only isnertion (58300)Usually the patient comes when she gets period .That time there is no GYN exam involved
 
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