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Thread: medicare preventive exam

  1. #21
    Join Date
    Apr 2007
    Portland Rose City Oregon Chapter

    Question Medicare Annuals

    AAPC: Back to School
    Good afternoon Lisa,

    We have also been confused about billing the new Medicare Annual codes as we are an OB/GYN office not a PCP. Can you please send me a copy of your worksheet as I have tried to look on multiple websites to find the correct information and have come up with nothing.

    Thanks so much!

    Amber Ruiz, CPC
    Women's Health Today

  2. #22
    Join Date
    Apr 2007

    Default Medicare preventive exam

    Lisa, I would like a copy also.

    Our office is a PCP and we are billing as follows:

    First preventive exam: code G0438 because this is the first time the patient has it since it is allowed, even if this is a established patient.
    Next year, we will use the code G0439 for the same patient and consecutively the next years.

    If it is a physical exam, we are using V70.0
    if it is a gyn exam , we use V72.31
    and we add to Q0091 pap smear, code V72.32

    My question is : is it allowed to bill both codes G0101 and G0438/9?

  3. #23
    Join Date
    Apr 2007
    Columbia, MO


    This is from the medicare transmittal on AWV:
    These services do not replace the Pap (Q0091) or Pelvic and Breast exam (G0101) that Medicare covers every 2 years (yearly for high risk patients). The AWV codes G0438 and/or G0439 can be reported with Q0091 and G0101 for female patients. G0102 (prostate screening DRE) is also reportable with G0438 and/or G0439 for male patients (yearly).

    Debra A. Mitchell, MSPH, CPC-H

  4. #24

    Smile Medicare Preventative exams sheet

    Hi if someone can forward a copy of the Medicare Preventative sheet to me I would appreciate it.

    Thank you,
    Kelley CPC

  5. #25

    Default copy

    Quote Originally Posted by Lisa Curtis View Post
    There are some rules involved with the new Annual Wellness Visits (AWV) for Medicare. I put together an information sheet for my providers. Email me if you want a copy.
    I would like a copy also

  6. #26
    Join Date
    Apr 2007


    I would like a copy as well. My email is thera.white@ osumc.edu Thanks

  7. #27


    i would like a copy emailed pspalmer88@netscape.net

  8. #28
    Join Date
    Apr 2007
    Milwaukee Chapter

    Default copy also?

    Hi my email is kacasyyes@yahoo.com Thanks!

  9. #29
    Join Date
    Apr 2007
    Buffalo, NY


    Hi Lisa,
    I also got the email Failure Notice for restricted mail. Could you please email me a copy of your AWV info sheet for providers?


    Thank you,

  10. #30
    Join Date
    Apr 2007


    I would also appreciate a copy as well! thanks! send it to Kevinsbaby45@gmail.com

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