Results 1 to 3 of 3

labs at physical

  1. Default labs at physical
    Exam Training Packages
    Whats the proper code to use for when labs are ordered at a physical and being done strictly for screening?

    because In the Icd 9 book theres a V72.62 code that states laboratory examination ordered as part of a routine general medical examination. than in small print "blood tests for routine general physical examination".

    My question is we are using this code in our office for labs ordered at physicals when no diagnosis is given and insurance companies are not paying for it. can anyone explain to me why this would be?

    Im so confused, why we would have such a code and insurance companies not recognize it. Thanks in advance for any clarification I can get.

    Darcy CPC

  2. #2
    Post
    May be you should try V72.69 for other laboratory examination.

  3. #3
    Location
    Columbia, MO
    Posts
    12,573
    Default
    Quote Originally Posted by daah cpc View Post
    Whats the proper code to use for when labs are ordered at a physical and being done strictly for screening?

    because In the Icd 9 book theres a V72.62 code that states laboratory examination ordered as part of a routine general medical examination. than in small print "blood tests for routine general physical examination".

    My question is we are using this code in our office for labs ordered at physicals when no diagnosis is given and insurance companies are not paying for it. can anyone explain to me why this would be?

    Im so confused, why we would have such a code and insurance companies not recognize it. Thanks in advance for any clarification I can get.

    Darcy CPC
    If it is for screening then use a screening code, if no screening code is available then use the V72.62 as you have been. Insurance does not have to pay for everything we do. Some patients will have the coverage for these tests and some will not. If the tests are performed because of therapy the patient is currently on, then it is not screening it is drug monitoring and should be coded with V58.83 followed by V58.6x for the drug the patient is receiving.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Annual Physical Labs
    By jmeberst314@gmail.com in forum Pathology & Clinical Laboratory
    Replies: 3
    Last Post: 08-28-2014, 09:53 AM
  2. School physical with labs?
    By Lynda Wetter in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-30-2014, 07:18 AM
  3. Annual Physical labs for Medicare patients
    By MarilynS in forum Billing/Reimbursement
    Replies: 1
    Last Post: 06-22-2012, 10:40 AM
  4. V72.62 and Labs for Physical
    By dballard2004 in forum Diagnosis Coding
    Replies: 4
    Last Post: 07-18-2011, 10:37 AM
  5. coding labs with a physical
    By peghin in forum Family Practice
    Replies: 1
    Last Post: 11-18-2008, 01:37 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.