Wiki Well Woman Exams

mllivers

Networker
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Harned, KY
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I am billing for a 99396 for this patient. Looks like she was also seen for cyst in a different office and told to see a GYN. The doctor reported a negative UA. Do I still need to charge for that or is that included in a well woman exam?
 
I am billing for a 99396 for this patient. Looks like she was also seen for cyst in a different office and told to see a GYN. The doctor reported a negative UA. Do I still need to charge for that or is that included in a well woman exam?
So what did he document with regard to the cyst? If he simply notes it and does not order tests to evaluate, then I am not sure you can come up with a separate significant E/M service in addition to the preventive visit. Let the documentation be your guide.
 
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