Results 1 to 5 of 5

Physical code

  1. #1
    Default Physical code
    Medical Coding Books
    How would you code a well visit physical with an EKG? and what diagnosis would you use?

  2. #2
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    Look in the V70 series
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3
    Default
    Are EKG's normally part of your physicals? Or did the physican find something that is why he is asking for the EKG, if thats the case the diagnosis for the EKG would be that symptom or diagnosis. Otherwise I agree I would use v70.* however I'm not sure if that is enough to support this service looking at it from the insurance end.

  4. #4
    Default Ekg
    We use EKG and the dx code 401.9 or a cardiac code, if the pt has cardiac issues or hypertension issues with a complete physicial.
    [I]Elizabeth Comma-Watson, CPC
    Billing/Coding Specialist
    Greensboro, NC 27455-2601

  5. #5
    Exclamation
    You'd just use whatever well physical code pertains to the visit. No modifier should be needed to get the visit to pay separately from 93000. The diagnosis code depends on the reason for the EKG, as mentioned in a reply above, but just a warning - expect some difficulty getting 93000 paid with a routine diagnosis, because some payors only cover it when there's obvious medical necessity. (If you have the documentation to back it up, though, denials can be fought.) If it's something that you guys do routinely w/well visits, make sure to check patient benefits to see what their insurance covers, so they can opt out of it or sign a waiver if needed.

Similar Threads

  1. Billing physical code and e/m code
    By kmaddocks19 in forum E/M
    Replies: 1
    Last Post: 02-02-2015, 11:13 PM
  2. physical therapy code
    By robi528 in forum Billing/Reimbursement
    Replies: 3
    Last Post: 01-31-2014, 11:42 AM
  3. Routine Physical V code
    By amh@yahoo.com in forum Billing/Reimbursement
    Replies: 0
    Last Post: 03-06-2012, 10:09 AM
  4. How do you code a sports physical?
    By MrsApplegate in forum Family Practice
    Replies: 1
    Last Post: 08-19-2011, 01:23 PM
  5. Dx code for annual physical
    By lapcpc1 in forum OB/GYN
    Replies: 2
    Last Post: 03-05-2008, 01:48 PM

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?

Login

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.