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IUD string check - Pt had IUD inserted

  1. Default IUD string check - Pt had IUD inserted
    Medical Coding Books
    Pt had IUD inserted and 6 weeks later comes in for a placement check, no complaints, expanded exam. Assessment is: Good IUD placement. Does this warrant an office visit? I am auditing this and am having trouble getting to an office visit code.
    Ann Marie CPC
    New Britain, CT

  2. #2
    Default Iud
    Hello - I believe an IUD follow up warrants an office visit and if there is not enough there to reach 99212 .. could you code 99211? v25.42 for dx .
    No ultra sound done correct?
    S. Stevens, CPC

  3. Default
    No U/S done and IUD check was performed by a PA
    Ann Marie CPC
    New Britain, CT

  4. #4
    Default IUD string check
    We bill an office visit w/V25.42.

  5. Default
    With the due respect of responding to your question,Ammontagano, I wish to state this:

    First visit immediately after the first menstrual period or after ONE month- that goes to say, that appropriate scheduling between 4-6weeks,unless she has complaints( above the admissible range)
    Subsequent visits after 3 months and there after once a year. During the first follow up visit, the client is counseled for, on 5 points and assessment by history and examination for any new conditions/problem that are contraindicated for use of IUD.
    However, the Provider is the final authority to schedule the appointment, and document the follow up Plans,findings. Based on the documentation, the code is assigned.
    Generally, as S Stephen said, and I also reasonably think that without complication and within the range of expected spotting/bleeding, the E/M code range would fall between 99211-99212 and not beyond.
    Thank you
    Last edited by preserene; 07-25-2010 at 05:45 AM.

  6. #6
    Location
    Greeley, Colorado
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    2,045
    Default
    Quote Originally Posted by SStevens View Post
    Hello - I believe an IUD follow up warrants an office visit and if there is not enough there to reach 99212 .. could you code 99211? v25.42 for dx .
    No ultra sound done correct?
    If it is a physican or NPP the level of service should be 99212 and dx V25.42. In this case the documentation should definately meet the requirements for 99212. If not, your provider needs some documentation education.
    Lisa Bledsoe, CPC, CPMA

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