#1 - you cannot make a visit for what it isn't in order to get paid for what it is - Meaning if the visit is for infertility then that is your first listed dx along with the other diagnosis discussed, the same goes for obesity or any other condition. It is wrong to use a payable dx code to disguise an otherwise non payable encounter and could be interpreted as deliberate misrepresentation.
#2 - Once the claim has been submitted the documentation cannot be altered. To "dress up" the documentation prior to an audit in order to represent what was billed on the claim is a very serious charge. DO NOT PARTICIPATE in this kind of activity EVER.
#3 - CMS has stated you may charge for no show visits as long as you charge all patients for no show encounters unless prohibited by state rule or contract. So check with your state payer.
#4 - To determine whether a patient is pregnant (V72.4x) can be billed as an office visit separate from the global. However once pregnancy is confirmed either by an doc outside your practice or your doc then the next visit initiates the global (V22.1 or V22.0) and may not be charge separate.
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