Internal Medicine Coding Alert
Billing for a Screening Test
Question: A patient is being seen for the management of hypertension and care of frequent urination at night. A rectal exam is done to evaluate the prostate. Can our practice bill an evaluation and management (E/M) code with modifier -25 attached along with G0102?
Nancy Barber
New Port Richey, Fla.
Answer: You cannot bill separately for G0102 (prostate cancer screening; digital rectal examination) at the time of a problem oriented E/M service, says Susan Callaway-Stradley, CPC, CCS-P, an independent coding consultant and educator based in North Augusta, S.C. The digital rectal exam becomes a portion of the exam rendered on that day. G0102 was designed to provide a mechanism for billing Medicare for the covered portion of an annual exam for men, and can only be billed in conjunction with a code from preventive medicine services, 99381-99397.
Internal Medicine Coding Alert
- The Proper Modifier Will Optimize Payment for Multiple Trigger Point Injections
As part of a pain management program, an internist may perform multiple trigger point injections [...] - You Be the Coder:
Infusion Therapy
Question: When billing for IV infusion for therapy or diagnosis, we bill code 90780. To [...] - How to Bill for Separately Payable Preventative Services
Although the Medicare Carriers Manual (MCM) does not include a national policy on separately payable [...] - HCFA Recalls Black Box Edits
The Health Care Financing Administration (HCFA) has instructed local carriers that it discontinued the use [...] - Reader Question:
Billing for a Screening Test
Question: A patient is being seen for the management of hypertension and care of frequent [...] - Reader Question:
Coding With No History
Question: A 60-year-old man with a history of uncomplicated hypertension develops a scrotal and groin [...]
