When a patient (male or female) is in for a preventive physical, it is up to the practitioner to perform an age appropriate exam then a CPT from the 99381-99397 range is billed. There is nothing that says how many body/organ systems must be examined but it is supposed to be "comprehensive".
When the patient is female, a pap/pelvic may or may not be performed at that visit. That doesn't change the fact that one of those CPT codes can be billed. The commercial payers in our area bundle G0101 into the preventive CPT so I would check with them to see what they want.
We bill G0101 only when a female patient has had their preventive visit and then come back at a later date for the pap and pelvic part of the exam.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join