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Thread: Work related physical

  1. #11

    Default Cindy Duzan, Occupational Medicine Specialist,CPC

    AAPC: Back to School
    You can only code a V code, V70.5 Health Examination of defined subpopulations (Occupational Health Examinations and Pre-placement screenings)

    You are not treating anything, so you cannot code a diagnosis.

    Most private insurance carriers will not cover this service. We always make the employee or the employer (if they authorize) pay for these exams.

  2. #12


    For pre-employment or DOT exams, we report code 99499 (unlisted E/M) and ICD-9-CM code V70.3 or V70.5 depending on the type of exam. Many carriers will not reimburse for these types of exams, so these are either payed out of pocket by the patient, or in the case of DOT exams, we invoice the employer.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

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