AAPC - Back to school
Results 1 to 3 of 3

Thread: Lab coding during a CPE

  1. #1

    Default Lab coding during a CPE

    AAPC: Back to School
    When a patient comes in for an annual physical, is it appropriate to code the labs as routine (V70.0) if the patient has a medical dx to support the test?? (ie. a TSH is done & the pt has hypothyroidism, do you code the 244.0-244.9 or can you code the V70.0 b/c it is during the annual physical??)

    We have been coding the medical dx to support the test & have been running into a lot of trouble b/c the patient calls & says they have routine coverage once a year for a physical & they call their ins co & the ins co's are telling them that the dr's ofc is billing it wrong b/c they have routine coverage.

    If anyone can shed some light on this I would appreciate it greatly......this has been an immense source of frustration!!

    Thank you.

  2. #2


    The way that I understand this is that if the patient has a dx already that supports WHY they are getting the blood drawn then this is the code that needs to be used. Like you said, if someone has hypothyroidism already and they are having their TSH done to monitor this condition than it should be used. If they are just wanting yearly labs done like a general health panel just the check things over but have no underlying conditions than the V70.0 is appropriate to use here.

    I have been running into the same thing with people that have a "wellness" section to their plan. They think we can just change the dx and all is fine. Just tell them that you don't look good in an orange jump suit! I did a lot of digging on this too, especially for people that are diabetic. I double checked with our billing office and they verified this.
    Last edited by aarnold13; 07-28-2009 at 12:37 PM. Reason: addition to comment

  3. #3


    Thank you so much!!

Similar Threads

  1. Coding a sick EM with a CPE
    By amexnikki23 in forum E/M
    Replies: 9
    Last Post: 07-08-2015, 02:36 PM
  2. CPE not completed
    By smaher82 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-12-2013, 08:28 AM
  3. Help!!! E/M w/ CPE
    By GORSKICHRISTINE in forum Billing/Reimbursement
    Replies: 0
    Last Post: 11-17-2010, 06:57 AM
  4. Labs done with CPE
    By Lindsey_McBee in forum Internal Medicine
    Replies: 2
    Last Post: 04-29-2009, 10:25 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.