• 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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Skin Cancer Screening

dballard2004

True Blue
Messages
1,170
Location
Overland Park, KS
Best answers
0
If a patient comes into the clinic for a skin cancer screening (no E/M being performed), we are using ICD-9 code of V76.43 and the preventative counseling codes based on time. What happens if during the screening we find something of concern? Does this then change to an E/M service where we can code an E/M office visit code (99201-99215)?
 

Herbie Lorona

Expert
Messages
409
Location
Yuma
Best answers
0
If you find something of concern you can also bill for a E&M Code with modifier 25 along with the Prevenative Visit
 

kasdmb

New
Messages
2
Best answers
0
RE Derm Question

Just because a problem may be found upon routine screening does not automatically justify payment for an additional E&M. Please read your guidelines. They specifically state that "If an abnormality is encountered or a preexisting problem is addressed in the process of performing this preventive medicine evaluation and management service, and if the problem or abnormality is significant enough to require additional work to perform the key components of a problem-oriented E/M service, then the appropriate Office/Outpatient code 99201-99215 should also be reported.
 
Top