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New Well Woman Exam and New Office Visit

  1. Default New Well Woman Exam and New Office Visit
    Medical Coding Books
    I need some help in this matter.

    A new patient presents to the office for a Well Woman Exam.

    The Dr spends additional time with the patient going over problems that is not related to the Well Woman Exam.

    Do you bill: 99385 (new annual patient) and 99201 (documentation supports this level of visit for new patient)

    OR

    99385 (new patient) and 99212 (established patient)

    Thanks in advance.

  2. Default
    You bill:
    99385 - 25
    99212 - 25

  3. #3
    Location
    DALLAS CENTRAL
    Posts
    45
    Default
    I agree with above except you only need a modifier on the 99212.

  4. #4
    Location
    Grand Rapids, Michigan
    Posts
    6
    Default
    So would copay still apply to E&M even though preventative?
    Tina Lamoreaux, RMA, CEMC

  5. Default
    I agree with the above, mod 25 only on 99212. Copay would still apply for the visit because other issues were addressed outside the prev med visit.

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