Internal Medicine Coding Alert
Reader Questions:
Don't Expect Insurance Company To Pay for Driver's Physicals
Published on Thu Mar 17, 2011 
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Question:
Pennsylvania Subscriber
Answer:
Most insurance companies do not cover driver's physicals, even if you report a preventive E/M code (99381-99387 for a new patient or 99391-99397 for an established patient). Physician offices often create their own codes and fees for the encounter and ask patients to pay at the time of service.Other Articles in this issue of
Internal Medicine Coding Alert
- Osteoporosis:
Check Out 3 Areas to Stay Within New Osteoporosis Screening Regulations
Medical necessity and acceptable timeframes are must-haves before coding.New recommendations from the U.S. Preventive Services [...] - Modifier Mythbuster:
Bust 3 Myths to Avert the Trap of 'Increased Procedural Services'
If you decide to append modifier 22 always in certain situations, be prepared to head [...] - Dermatology:
Do Not Forget Office Visits for Initial and Follow-Up Patch Tests
Plus: Count every test to get the money your physician is due.When your internist conducts [...] - Audits:
Follow This 3-Step Strategy To Get Through Irrational Denials
The contract a patient signs with the insurance company holds true no matter what.Have you [...] - You Be the Coder:
Add A Secondary Dx With 702.11 or 702.19
Question: Our physician excised a 0.4 cm lesion and documented, "She has a bleeding black [...] - Reader Questions:
Don't Expect Insurance Company To Pay for Driver's Physicals
Question: What is the best way to code and bill for driver's physicals? I'm thinking [...] - Reader Questions:
692.4 or 995.2x Could Fit Multiple Chemical Sensitivities (MCS)
Question: What diagnosis code applies to multiple chemical sensitivities?Wyoming SubscriberAnswer: Before selecting a diagnosis, verify [...] - Reader Questions:
Removal Technique Helps Guide Lesion Coding
Question: We have an ongoing discussion in our office regarding how to code for excisions [...] - Reader Questions:
Choose Either 17110 or 17111 for Removal, Not Both Codes
Question: The physician removed plantar warts from each of a patient's feet. Do I submit [...] - Reader Questions:
99211 Vs. 69210 for Ear Wax Removal
Question: Can you explain how we know whether to report a procedure or E/M code [...] - Reader Questions:
Verify Payer Details Before Billing 99307
Question: How do I bill if our physician went to the nursing home to see [...] - Reader Questions:
45385, 45380: Resolve Colon Polyps With 2 Colonoscopy Methods
Question: How should I report the procedure based on this physician's notes:"Patient with history of [...]
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