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Thread: Routine physicals

  1. #1

    Default Routine physicals

    AAPC: Back to School
    I am new to Family Practice coding and trying to get some things straight. If we do a routine physical on a woman and also do her gyn and pap, do I use V70.0 and V72.31 with the Preventive code? We do not bill for the pathology of the pap since we send it out, but we do charge 99000 for the handling. Would I use V76.2 for this?

  2. #2


    I'll wager an opinion here.

    Keep in mind that third-party payers may see this differently. If the well-woman physical is comprehensive and includes the gyn component, then you report V70.0 and V76.2 for the pap if obtained. V72.31 is only used if the exam is gyn only. To my understanding, there is a Coding Clinic from the AHA that specifies that codes V70.0 and V72.31 cannot be reported together.

    You can report 99000 for the specimen handling, but from my understanding many payers may not reimburse for it and may bundle it into payment for the physical.

    Hope this helps and again this is my opinion.
    Last edited by dballard2004; 03-23-2011 at 09:10 AM.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

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