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Thread: Billing for Sports Physicals

  1. #1

    Default Billing for Sports Physicals

    AAPC: Back to School
    Do practices generally bill a sports physical with an E/M code? And if so, how do you address the chief complaint and HPI issue?

  2. #2
    Join Date
    Apr 2007
    Capital Coders, Columbia, SC


    Typically, our school, sports and camp physicals are a self-pay service and not billed to insurance. We have created "in house" codes to represent these services. The physician's documentation format resembles that of a comprehensive preventive exam, linked with a preventive medicine ICD-9 code, such as V70.3 Other medical examination for administrative purposes (including school admission).

  3. #3
    Join Date
    Apr 2007

    Default sports physical

    I just received a call from an insurance company for a patient that submitted the claim on their own for the sports physical. We too use an in-house code for sports physicals. Insurance wants to know what code we billed with. How do we explain this to them?

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