• 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 Preventative visit with medical diagnosis

Create Wiki
S

sluke9

Guest
Messages
52
Location
Columbus, OH
Best answers
0
We have a difference of opinion on whether or not to use medical diagnoses for a preventative exam CPT?
If there is no support for a separate E/M level to be billed, should the diagnoses of anything else be listed?
 
You can list a medical diagnosis on a preventive exam code, just not as primary. If the Dr. sees the pt for a medical condition in addtion, if their documentation supports a separate E/M, you can bill that as well with a 25 modifier. Many payers do not reimburse for this separately though. I tell my physicians to have the pt come back to the office for a separate visit in this scenario.
For Medicare IPPE's and AWV's, you can list any diagnosis code on the charge for G0402 or G0438 or G0439 per MEdicare.
 
You must log in or register to reply here.
Top