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E/M coding for Breast/PAP only

  1. #1
    Location
    Charm City - Baltimore
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    103
    Default E/M coding for Breast/PAP only
    Medical Coding Books
    Hello -

    Patient came in for a Preventive visit in November. She deferred her breast and pelvic exam until a later date. She is non-Medicare. In January she comes back for just a breast and Pap smear. Would an E/M visit be appropriate with V 76.19 and V76.2?

    thanks,
    Crystal, CPC, CCS-P

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by CrysLednum View Post
    Hello -

    Patient came in for a Preventive visit in November. She deferred her breast and pelvic exam until a later date. She is non-Medicare. In January she comes back for just a breast and Pap smear. Would an E/M visit be appropriate with V 76.19 and V76.2?

    thanks,
    Actually, if you coded a preventive exam with V70.0 for the November visit, you may code a preventive exam visit with V72.31 for the January visit. A woman's breast and pelvic exam with or without a pap smear qualifies for a preventive visit for OB/Gyn.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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