Patient came in for a px for a college course. Provider noted it would be similar to our kindergarten px. Provider entered 99213 for E&M level, and her assessment is "Administrative exam, (work, school, military)". We are not finding any clear guidance if this should be charged as the office service or as a preventative. Any assistance would be appreciated!-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Office service or preventative E&M
- Thread starter Dorothyfs
- Start date
Patient came in for a px for a college course. Provider noted it would be similar to our kindergarten px. Provider entered 99213 for E&M level, and her assessment is "Administrative exam, (work, school, military)". We are not finding any clear guidance if this should be charged as the office service or as a preventative. Any assistance would be appreciated!lec1408@msn.com
New
lcampbell
Under Preventive Medicine Services guidelines in CPT 2013, age-appropriate hx, exam, couseling, dx tests, without addressing a pre-existing or new problem falls under preventive medicine. (pg 35) If I understand correctly, 99213 would be used to address a specific complaint.
Under Preventive Medicine Services guidelines in CPT 2013, age-appropriate hx, exam, couseling, dx tests, without addressing a pre-existing or new problem falls under preventive medicine. (pg 35) If I understand correctly, 99213 would be used to address a specific complaint.
mdimitrov
Guest
some help for you
Sounds like the doc did a preventative service on this patient, so pt could be admitted to the college course. The docs reference to "Administrative exam, (work, school, military)," is a reference to the diagnosis code V70.3 "Other medical examination for administrative purposes." As far as the CPT code that you should use, refer to "Preventative Medicine Services, New Patient (99381-99387) or Established Patient (99391-99397), based on age of patient.
Hope that helps!
Sounds like the doc did a preventative service on this patient, so pt could be admitted to the college course. The docs reference to "Administrative exam, (work, school, military)," is a reference to the diagnosis code V70.3 "Other medical examination for administrative purposes." As far as the CPT code that you should use, refer to "Preventative Medicine Services, New Patient (99381-99387) or Established Patient (99391-99397), based on age of patient.
Hope that helps!