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  1. #1
    Location
    Phoenix/Scottsdale
    Posts
    139
    Default Question...
    Medical Coding Books
    Does anyone know if a specialist can bill for a mantainance visit, like a well visit or yearly exam. I think no, only a PCP can bill for that, I want to make sure.

    Thanks in advance!

    Kristin Felty CPC, CCC, CCVTC

  2. #2
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    We have Gyn who can do a yearly PE for Gyn.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  3. #3
    Default
    Quote Originally Posted by kfelty View Post
    Does anyone know if a specialist can bill for a mantainance visit, like a well visit or yearly exam. I think no, only a PCP can bill for that, I want to make sure.

    Thanks in advance!

    Kristin Felty CPC, CCC, CCVTC
    I don't think it's typical (aside from OBGYN), but I don't know of any rule stating that they can't. We have some providers who are considered specialists, who occasionally bill for routine and non-specialty type services.

    It doesn't happen often, though, because they are specialists - they went through a lot of extra schooling to become experts in a particular area; not so that they can see patients for things that are normally handled by primary care docs.

    Hope that helps!

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