Results 1 to 8 of 8

annual c/u and E&M on same DOS

  1. Default annual c/u and E&M on same DOS
    Medical Coding Books
    Hello, again

    We have a new ob/gyn provider in our practice, who states that she is allowed to bill 99384-7 and 99394-7 codes with dx v72.31 if a member is present for regular gyn c/u. HOWEVER, (she also states) that if during a regular c/u the ptn is dx nad treated for UTI and/or BV for example we can bill 99211-5 (folowing E&M guidlines for appropriate level) w/ mod 25 and addition dx codes.
    SO ON THE SAME DOS we would bill:
    99386 with v72.31 and
    99212/3 with 599.0

    Can Someone please tell me if this is true ????


  2. #2
    Yes this is true.

    As long as documentation supports both services, you can bill a problem visit in addition to the well care.

    Laura, CPC

  3. #3
    just remember to put the mod. 25 on the e&m

  4. Default
    Thanks alot everyone!!!

  5. Default
    Quote Originally Posted by katmryn78 View Post
    Yes this is true.

    As long as documentation supports both services, you can bill a problem visit in addition to the well care.

    Laura, CPC
    Hey, and I AM back oes again on the same issue.

    Is there something in writting i can through into the face of ins comp. That would really make my day. I have Fidelis Care of NY, who paid this cenario for a few months now, telling me that this is NOT allowed. Even though, my first argument was that they habe paid this previously, there current rebutle is that all prious payments were made in error.

    CAN SOMEONE please point me towards a link of something from ACOG that I can use to argue my point.


  6. Default
    Hey guys any takers on this on????

  7. #7
    Greeley, Colorado
    I don't have anything from ACOG, but if you read the CPT guidelines for Preventive visits, it gives good guidance as to when and how to report a Preventive visit and a problem-oriented one at the same encounter. Best of luck!
    Lisa Bledsoe, CPC, CPMA

  8. Default
    Thanks very much!!!

Similar Threads

  1. E/M and I&D on same DOS
    By danadove in forum E/M
    Replies: 2
    Last Post: 08-29-2014, 09:48 AM
  2. ?? about new codes & DOS
    By jdsm3857 in forum Behavioral Health
    Replies: 2
    Last Post: 01-08-2013, 11:10 AM
  3. Discharge & Readmission same DOS
    By Erica1217 in forum E/M
    Replies: 5
    Last Post: 05-10-2012, 08:33 AM
  4. E&M and Sonogram on Same DOS
    By dan528i in forum OB/GYN
    Replies: 3
    Last Post: 05-08-2011, 07:59 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.