Results 1 to 2 of 2

What is the correct billing?...

  1. Question What is the correct billing?...
    Medical Coding Books
    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?

  2. #2
    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

    or Est
    99211- 99215
    Last edited by broo4909; 12-31-2008 at 02:51 AM.
    Christine Brooks,CPC,CCP,CMSCS,CPMA

Similar Threads

  1. correct billing of 90746
    By Libby C in forum Billing/Reimbursement
    Replies: 3
    Last Post: 04-21-2017, 09:33 AM
  2. Correct EKG Billing
    By katrinawestley in forum Cardiology
    Replies: 5
    Last Post: 07-29-2014, 11:40 AM
  3. Correct billing?
    By ollielooya in forum E/M
    Replies: 1
    Last Post: 01-18-2014, 07:38 PM
  4. correct billing for J1040
    By TRHODES in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 03-28-2013, 11:12 AM
  5. Correct Billing
    By ammontagano in forum Interventional Radiology
    Replies: 2
    Last Post: 01-25-2010, 12:28 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.