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Thread: Trying to figure OB out for coding

  1. #1
    Join Date
    Apr 2007
    Modesto, CA; Central Valley Chapter

    Default Trying to figure OB out for coding

    AAPC: Back to School
    Hello Again!

    Ok, I'm am researching Medicare requirements for patient's who have screen paps and breast exams. My question is a stupid one and I think I know the answer but just want someone else's opinion.

    If the patient comes in with an active diagnosis, we would not use the Q0091/G0101 - correct? So would this be coded as an office visit?


  2. #2
    Join Date
    Apr 2007


    Well....if the patient come in for a problem visit, you would code an E/M, yes. If the doc also decides she's due for a screening pap smear, and the pap is unrelated to the problem, you could also report Q0091. If the doc does a full screening exam and also addresses a problem at the same visit, you can report an E/M along with G0101 and Q0091. Don't forget to attach modifer 25 where appropriate, and choose/link diagnosis codes appropriately.

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