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Thread: 99213 with 99395

  1. #1

    Default 99213 with 99395

    AAPC: Back to School
    My provider includes a thorough medical examination reviewing all systems from head to toe while perfoming a gynecological exam. Is it acceptable to bill a 99213 as well as 99395???

    Thanks, tford

  2. #2
    Join Date
    Apr 2007


    The head to toe is included in the 99395. Was there a separately identifiable medical concern that was evaluated as well?? One that is not a stable chronic illness ?
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

  3. #3
    Join Date
    Apr 2007
    Concord, NC or Rochester, NY


    You can only bill the office visit if there is a separately identifiable issue that is examined and this must meet the requirements of a 99213 as far as exam and MDM. From your description, your provider only performed the physical.

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