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Screening only

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ratijames4

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JACKSONVILLE, FL
Hello Everyone,

How do we code if it is screening only? Should we use base rate E/M code(99499) in conjuction with screening only code(DRE) 99250.
 
Your post is incredibly vague and slim on details. What are you screening for exactly? Also, 99250 is not currently a valid CPT code, do you have a typo in here by chance. Please provide additional information so that the community can assist you with your question(s).
 
ratijames4 said:
Hello Everyone,

How do we code if it is screening only? Should we use base rate E/M code(99499) in conjuction with screening only code(DRE) 99250.
Click to expand...
Hi there, the DRE is coded with G0102 without an extra E/M code.

There is no patient copay when the screening meets the carrier's requirements. In the event there is a separate issue that is not related to the preventive service it would be appropriate to an code an E/M visit. However, there will be a co-pay for the E/M visit so the provider should make sure the patient understands that before they perform the E/M service. Patients often think everything that happens during the visit for a preventive visit is covered under the preventive benefit and they get upset when they have to pay for the separate E/M visit.

Finally, 99499 is the unlisted E/M code. It is not a 'base rate' code.
 
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