Results 1 to 3 of 3

Wellness exams

  1. Default Wellness exams
    Medical Coding Books
    I need information on the United Healthcare Medicare exams. I was told and so was a patient, that UHC allows 2 exams per year that are free to the patient. One is the wellness exam billed with the appropriate G code, and one is a comphrensive physical. How do you bill the comprehensive physical? All UHC will say is that they follow Medicare guidelines. If you bill with standard E&M codes they will have a copay, and Medicare doesn't recognize the 99397 code. Any ideas or experience with this situation?

  2. #2
    Huntsville, AL
    We bill the appropriate code usually a 99214 or 99215 with a 25 modifier then the G0439 Subsequent physical code for Medicare and have been getting paid.
    Kellie Terry, CPC
    Office Manager
    North Alabama Internal Medicine, PC

  3. #3
    I have billed UHC Medicare with 99397 and they have paid. I do not know about the two physicals a year, that is the first I've heard of that.
    Kimberly Jawidzik, CPC
    MedAssure, LLC
    Physician Billing & Consulting

Similar Threads

  1. Two wellness exams?
    By Radcoder86 in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 06-20-2015, 11:23 AM
  2. Incident to Wellness exams
    By ksanthony in forum Billing/Reimbursement
    Replies: 1
    Last Post: 03-19-2014, 07:15 AM
  3. Annual Wellness Exams
    By codeforfun in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 05-23-2012, 02:41 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.