Wiki Preventive CPT vs. School Physical

[dsing1@uky.edu]

Should a Preventive code be used when a patient has a School Physical using diagnosis code V70.5?

 

[AmandaBriggs]

Is this for a sports physical only, our clinics charge a flat fee and don't bill insurance. If the patient is also do for their well-child visit, the provider may combine the services and bill a preventive medicine services CPT code. The ICD-10 code V70.5 is for driver of bus injured in collision with a pedestrian or animal in traffic accident. Pretty sure you don't want to use that code. I would look at Z02.5. I have a feeling most insurances will deny the claim if this is your primary dx which is why most offices charge a flat fee for this service.