Internal Medicine Coding Alert
Preventive Medicine = Carve-Out Coding
Question: A Medicare patient had a preventive visit (99397), E/M (99213-25), vaginal cancer screening (G0101) and Pap smear (Q0091). How should I carve out the codes? Answer: If you are using Medicare's guidelines for "carving out" charges, you must first start with your "actual" charge for 99397 (Periodic comprehensive preventive medicine ...; 65 years and over).
Florida Subscriber
Suppose your practice charges $150 for the preventive exam. You would subtract the charge for the remaining codes -- 99213 (Office or other outpatient visit for the E/M of an established patient), G0101 (Cervical or vaginal cancer screening; pelvic and clinical breast examination), and Q0091 (Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory) -- from the "actual" charge. You can bill the patient the difference.
Internal Medicine Coding Alert
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Say Goodbye to Your Coding Grace Periods
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Answer 1. False. Before supplying a procedure or ICD-9 code for lesion excision, you should [...] - Reader Question:
Report 99341-99345 for Home Visits
Question: How should we report home visits?
New Jersey Subscriber Answer: You should code home visits [...] - Reader Question:
Preventive Medicine = Carve-Out Coding
Question: A Medicare patient had a preventive visit (99397), E/M (99213-25), vaginal cancer screening (G0101) [...] - Reader Question:
Bill Established Patients Under Incident-To
Question: Do you have any tips for reporting a non-physician practitioner's service to Medicare when [...] - Reader Question:
Patient Presence Means E/M Payment
Question: The internist spent more than an hour with a family discussing an elderly patient's [...] - Reader Question:
Use 99385 for Sports Physicals
Question: Recently our internist performed a sports physical for an established patient's son. Should we [...] - Reader Question:
Get Specific With E Codes
Question: When should we use E codes? Do they help us receive reimbursement?
Arizona Subscriber
Answer: Although [...] - Reader Question:
No More Starred Procedures Means More Modifiers
Question: What's the practical significance of losing the starred designation in CPT 2004? For example, [...] - Reader Question:
Medicare Says 11719 Is Routine
Question: A Medicare patient presented with a painful ingrown toenail. The internist trimmed the nail. [...] - Get ABNs, or Risk Picking Up Patient Tabs
Without ABNs, unpaid Medicare bills may become your problem
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What to Change, What to Leave Alone
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When it [...] - You Be The Expert:
ABNs and Uncovered Medicare Services
Question: Our office obtains advance beneficiary notices each time there is some doubt about whether [...] - Reader Question:
Follow the CMS Definition of 'Deliver'
Question: Since the purpose of an ABN is to inform the patient about a service, [...]
