AAPC - Back to school
Results 1 to 4 of 4

Thread: Sports Physicals in Pediatrics

  1. #1

    Default Sports Physicals in Pediatrics

    AAPC: Back to School
    I am hoping someone can help me with a question I have regarding commercial carriers and sports physicals. Is it appropriate to charge the age-appropriate CPT code for Preventive Medicine, i.e. 993974, etc. with ICD-9 code V70.3, and are major commercial carriers known to pay for this?

    TLC Pediatrics
    Gainesville, GA

  2. #2
    Join Date
    Apr 2007
    North Carolina


    We have an internal code and require payment up front~



    Hope this is helpful~

  3. #3
    Join Date
    Apr 2007
    Chicopee, MA


    If it's been a year since their last PE and they need one anyway, then it would be okay if a full PE is done... otherwise I agree w/ collecting upfront and using an internal code.

    Here's another excellent article on this subject from AAFP:


  4. #4

    Default another option

    I'm in a Pediatrics office too... If the patient has had a routine physical in the last 12 months, the office can fill out the paperwork for the sports physical without actually doing another physical (The Dr. takes any recent medical history noted in the chart into consideration when filling out the forms). Our office does it as a courtesy (we treat it as part of the original service) but some offices charge a nominal fee with an internal code for filling out paperwork. If they have not had a physical in the last 12 months we require a full physical before filling out any forms or filling prescriptions.

Similar Threads

  1. Sports and cdl physicals
    By hfiessinger in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-02-2013, 06:07 PM
  2. Sports physicals
    By mwynn in forum E/M
    Replies: 1
    Last Post: 02-13-2012, 07:05 AM
  3. Sports Physicals
    By crystalm in forum Diagnosis Coding
    Replies: 2
    Last Post: 02-20-2011, 07:39 PM
  4. Sports Physicals
    By jacob1862 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 08-25-2010, 07:42 AM
  5. Sports Physicals
    By crystalm in forum Family Practice
    Replies: 13
    Last Post: 08-05-2009, 05:27 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?


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.