AAPC - Back to school
Results 1 to 2 of 2

Thread: e/m coding(preventive code)

  1. #1

    Default e/m coding(preventive code)

    AAPC: Back to School
    I work for doctors who mark preventive code and then give me diagnosis (exsteoporosis) so to be able to use the e/m code also what level is generally considered normal? I haven't went to the physicians yet (just took over the billing) because I want to make sure I have correct info. I have read the cpt guidelines but not quite sure how it all goes together?

    christina cpc-a

  2. #2
    Join Date
    Apr 2007
    San Diego



    Preventive codes are based on age group so I'm not sure what you mean by "what level is normal". Do you mean for selecting an E/M code? If so, you have to audit the chart note to be able to select the correct level of service, i.e. does the service meet or exceed each of the three key components.

    Also, I'm wondering if the physicians are indicating to you that they want both a Preventive visit and an E/M visit for the DOS. As you may already know, this is allowed when all criteria are met for both services and by appending modifier -25 to the E/M code.

    I think your instinct about going to them directly to find out what they are marking is right on the money. Maybe the don't know to use V codes for Preventive visits?

    Good Luck!
    Sylvia Thompson, CPC
    Billing Supervisor
    San Diego, CA

Similar Threads

  1. Preventive and Add'l E/M code
    By gkhan in forum Internal Medicine
    Replies: 8
    Last Post: 01-24-2014, 07:04 AM
  2. Preventive vs. E&M code
    By JLuz in forum Billing/Reimbursement
    Replies: 5
    Last Post: 08-26-2013, 03:46 PM
  3. Preventive with E/M Code
    By Crystal H in forum Medical Coding General Discussion
    Replies: 7
    Last Post: 11-09-2010, 07:15 AM
  4. preventive code guidelines
    By kumeena in forum OB/GYN
    Replies: 4
    Last Post: 07-06-2010, 01:45 PM
  5. Preventive code guidelines
    By kumeena in forum Family Practice
    Replies: 2
    Last Post: 06-25-2010, 08:41 AM

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.