The codeing guidelines coupled with the documentation dictates how we code the claim, regardless of how the physician list the dx. A V70.0 is first listed only alowed. I the visit was a well woman then the dx code is a V72.31 and possible a code for vaginal screening ( if the patient has no cervix), and a code, for the absence of cervixand or uterus, plus possibly a code for HPV screening. Then any other comorbid or prexisting conditions, such as HTN, or diabetes. The CPT code will be a prevent visit level or the G and the Q code depending on payer. Most providers do not know the coding guidelines, as a coder we need to know and follow these.
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