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Vaginal exam

  1. #1
    Location
    Alexandria, LA
    Posts
    18
    Smile Vaginal exam
    Medical Coding Books
    One of my doctors saw a patient for UTI/Dysuria. Due to other complaints, he performed a "vaginal exam" and found a epidermal cyst. He feels that the vaginal exam warrants a separate code besides his E&M service. He did not obtain a pap smear, only performed an examination of the vaginal area. Wouldn't this simply be part of his medical examination needed because of the present illness? Please let me know your thoughts. Thank you.


    Wanda S. Wages, CPC
    Precision Practice Services of Louisiana

  2. #2
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    You are correct. There is no separate code for a "vaginal exam". He did the exam because of indications from the "other complaints".
    Lisa Bledsoe, CPC, CPMA

  3. #3
    Location
    Columbia, MO
    Posts
    12,526
    Default
    absolutely Lisa is correct, a vaginal exam is no different than a mouth exam. Crude I know I apologize! I just could not come up with a different analogy.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Wink
    Quote Originally Posted by mitchellde View Post
    absolutely Lisa is correct, a vaginal exam is no different than a mouth exam. Crude I know I apologize! I just could not come up with a different analogy.
    LOL Debra - thanks for the laugh!!
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Location
    Alexandria, LA
    Posts
    18
    Default
    Thank you for the responses. I knew that was correct, but I had to ask just to please my doctor.


    Wanda S. Wages, CPC
    Precision Practice Services of Louisiana

  6. Smile
    I work at a family practivce for 7 physicians and we see pt that have problems with the vaginal area and they do vaginal exam we never charge it seperately its all part of the E/M visit.

    Hope this helps!!
    MsMaddy

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