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Thread: get established code/sports cpx

  1. #1

    Red face get established code/sports cpx

    AAPC: Back to School
    Dose anyone know if there is a get established code for new pt. Pt comes in
    and does not have any complaint and it's his first visit to get established.

    Also a sports cpx code, do you use V70.3 and for DMV CPX, KINDERGARTEN CPX. And do you use prevenative office level.? We do at our office. I just
    want to make sure if we are coding wright.

    We usually use V70.0 DX FOR ALL CPX.



  2. #2


    If you look under V70.0, V70.3 and V70.5 in the tabular, you will see a list of what those physicals are for. We use the preventive (physical) CPT codes based on age with the diagnosis appropriate for the type physical it is.

  3. #3
    Join Date
    Apr 2007
    north seattle wa

    Default establish care cpt

    If the patient does not have symptoms or a defined illness and your physician is giving them the "diet and excercise" counseling, I would look at 99401-99404.
    These codes are for new or established patient counseling and/or risk factor reduction intervention codes to report services at a seperate encounter to promote health and prevent illness or injury. The physician will have to note the time since these are time driven codes.

  4. #4

    Default established code.

    I'm sorry for not making myself clear on the established code. I meant the
    ICD-9 code for get established code for new pt.

    Thank You

  5. #5
    Join Date
    Apr 2007


    I have personally researched this sports px thing to death in our office. We finally came up with the following, if the patient presents for strictly a sports px, then our doctors code an E&M with V70.3. If all bullets are met for a preventative E&M then we bill the physical that way. The point being is what is being met in your documentation. Regardless of what type of physical, depends on what is being met in your record. Hope this helps!

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