Wiki What is the correct billing?...

[cbrice]

When a patient is seen for an annual exam and while in with the physician is seen for a SEPARATE diagnosis, what is the correct method of billing? What CPT code(s) would be used?

 

[broo4909]

You would bill the Annual exam code and dx then the apporate e/m code with the dx and add MOD 25 to the E/M code. Hope this helps.

CPT code
New patient codes
99381 younger than 1 year
99382 age 1-4
99383 age 5-11
99384 age 12-17
99385 age 18-39
99386 age 40-64
99387 age 65 and older

Est pt codes
99391 age younger than 1
99392 age 1-4
99393 age 5-11
99394 age 12-17
99395 age 18-39
99396 age 40-64
99397 age 65 and older

then what ever E/M code
new
99201-99205

or Est
99211- 99215