Medicare Well-Woman Exams

puggles

Networker
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Can someone tell me how they bill for Medicare well-woman exams??? I know that Medicare does not pay for the cpt codes 99381-99397 with the V72.31 dx code, and the patient signs the ABN form. I am having trouble getting the G0101 codes and the Q0091 codes paid for with the V72.31. If I could get some advice and help coding this, I would really appreciate it.
Thank you. :eek:
Miranda
Physicians Billing
 

kbarron

Guest
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Ossipee, NH
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medicare exam

I would use V15.89 or V76.2 depending on the circumstance. You may carve out the 99397. Good Luck
 

mitchellde

True Blue
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Columbia, MO
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A well woman exam for Medicare is a V72.31 with the G0101 and Q0091, Medicare covers this every other year, If you timing is off by one day then Medicare can and will deny the service as non covered. Also if the patient has had a total hysterectomy you must add the V76.47 with the appropriate V88.x code. If the patient had a hyst with a remaining cervical stump then you need to add just the V88.x.
 
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