I have been troubled as to why no one challenges health care reform as it relates to coding here is my question Example: V72.31 Routine gynecological examination can be billed along with 99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 40 minutes face-to-face with the patient and/or family. Correctly coded would be 99396 with V72.31 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years From a correct coding perspective this doesnâ€™t make sense. 99215 should only be billed with a sick visit; however, the coding guidelines coming from Health Care reform are a direct conflict to proper coding, not to mention factoring in how the code should be paid. My question for you: Was this considered when put if place? If so, what is the rationale behind the coding?
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