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Dot Physicals

  1. Default Non-nida drug screens
    Medical Coding Books
    Can anyone help me with a CPT code for a NON-NIDA drug screen?

  2. Default Charges for DOT
    So what are you charging for DOT PE, if its a self pay patients? Thanks in advance!

  3. Default DOT physical
    Currently we use 99455 with V70.5. It is for both new and est patients. Previously we used an inhouse code,but our new system does not allow this. Patient or employeer pays costs.


    CODEtwo

  4. Default FAA physicals
    Does anyone know what criteria is needed for coding an FAA physical with an internal code 2049 for the urine dip? This clinic doesn't seem to have any structure and very little EMR information and that it will be self pay. Any information would be great.

    Thank you

  5. #15
    Default
    I agree with your opinion. The DOT does not meet the requirement of a Preventative Exam. We are able to use "DOT". The patient pays for the visit when they come in and it is up to them to get reimbursed by the employer; it is simple and the patients do not argue. If you use the Preventative Exam code and the patient submits the to their health insurance then you have a problem.
    Last edited by terif; 04-09-2015 at 01:56 PM.

  6. Default DOT patient to established patient?
    We have a physician that sees DOT physicals, if that patient comes in later to see him to establish care is that considered a new patient appointment or since he has been seen previously for DOT is he an established patient? Please help as our physician is questioning this billing issue.

  7. #17
    Default
    Quote Originally Posted by ipmclovem View Post
    We have a physician that sees DOT physicals, if that patient comes in later to see him to establish care is that considered a new patient appointment or since he has been seen previously for DOT is he an established patient? Please help as our physician is questioning this billing issue.
    E&M rules state any face to face in last 3 years established, it doesn't make an exemption based on who paid for it.
    CPC-P-A (11/2016), COC-A (9/2016), CPC-A (11/2015), PAHM (2010)
    Fee Schedule Configuration Specialist - Remote

    15 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

  8. Thumbs up Thank you!!
    Thank you for your reply. That is what I believed, but I wanted to have back-up from someone with more experience than I have before I let my provider know.

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