Page 2 of 2 FirstFirst 12
Results 11 to 12 of 12

Sports VS Wellness physical

  1. Default
    Exam Training Packages
    What if the pt was seen earlier in the year for their wellness exam and then a few months later come in for a sports physical. My providers don't like to just fill out the physical forms they want to see the pt. How would you code it then? I usually get denials on the sports physcial because the DX is still routine and it's been used already this yr.

  2. #12
    Quote Originally Posted by katmryn78 View Post
    I strongly disagree with using anything other than preventive codes for sports physicals. If you have no complaint you can't use a problem visit (99201-99215).

    It is very possible to do a true yearly physical along with the sports physical, usually the only addition to the physical is they are filling out a form for the patient in order for them to participate in sports.

    If they are not doing a true yearly exam the only appropriate code would be 99429 the unlisted preventive medicince service, which of course is not covered by insurances (well not any I know of that is). You need a policy in place to deal with these services as they should be paid for in advance and the patients made aware insurance will not cover them.

    Laura, CPC, CPMA, CEMC
    I agree 100% with you on this Laura. Our office has a policy for this in the case where it's too "early" for a yearly physical and pt is coming in for a "sports" physicial, the patient/family is made aware at the time the appointment is made that there is a charge for this we call it a "mini PE" and it's charge billed directly to the patient which is not hefty.
    Roxanne Thames CPC, CPC-I, CEMC

    "Remember the greatest gift is not found in the store but in the heart of true friends"

Page 2 of 2 FirstFirst 12

Similar Threads

  1. Sports physical
    By nellt in forum Family Practice
    Replies: 3
    Last Post: 10-25-2012, 11:00 AM
  2. How do you code a sports physical?
    By MrsApplegate in forum Family Practice
    Replies: 1
    Last Post: 08-19-2011, 02:23 PM
  3. sports physical
    By grams1 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 08-25-2009, 11:18 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.