Ob-Gyn Coding Alert
Evaluate E/M and Injection Visits
Question: How should I bill for a focused follow-up visit for a patient on Depo-Provera and also for administering the injection during that visit?
Pennsylvania Subscriber
Answer: If she presents for an evaluation of the problem for which she is receiving the Depo-Provera, you can bill for that E/M service (such as 99213, Office or other outpatient visit for the E/M of an established patient -).
You will not receive reimbursement for the injection in addition, however, unless the E/M is separate and significant from the injection procedure. Many payers are now interpreting this to mean that the E/M must be at least a level three before they will consider paying for both, and of course, you would need to append modifier 25 (Significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service) to the E/M service.
Ob-Gyn Coding Alert
- Fibroid Coding Got You Frustrated? Fix Your Claims With This Expert Advice
You may have to wait for the path report to know whether to code fibroid [...] - Remember 5 R's -- Not Just 3 -- for Consults in 2007
If you-re not documenting the request, you could land in hot water If you-re planning [...] - Keep Track of Time for Screening Pap Smears
Learn the 2 key concepts of well-woman exams A physician routinely performs Papanicolaou, or -Pap,- [...] - When to Start Global Ob for Nonscheduled Patient Visits
Find out what to do when patient has pregnancy-related symptoms Last month's article -Pick Your [...] - CLIP & SAVE:
Tackle Flu Shot Coding With This Helpful Tool
Tip: You may have to report a different code for Medicare patients If your head [...] - YOU BE THE CODER:
Pick Your PP Curettage Battle Wisely
Question: Cigna is only reimbursing half of the fee schedule amount when we do a postpartum [...] - READER QUESTION:
Know Whole Story for Laceration Complications
Question: I code for a multispecialty practice. During the course of a laparoscopic assisted vaginal [...] - READER QUESTION:
Hemorrhage Following Delivery Not Normal
Question: Once the patient delivered, she experienced postpartum hemorrhage one hour later, and then the [...] - READER QUESTION:
Simplify Coding for Egg Donor Screenings
Question: We have a patient who is going to be an egg donor. Today, we [...] - READER QUESTION:
Get Sepsis Coding Straight
Question: I-ve always had difficulty assigning the correct ICD-9 for sepsis. I read the guidelines [...] - READER QUESTION:
Evaluate E/M and Injection Visits
Question: How should I bill for a focused follow-up visit for a patient on Depo-Provera [...] - READER QUESTION:
Get Right to Your RSO, Laparotomy Code
Question: My ob-gyn performed a laparoscopic right salpingo-oophorectomy (RSO) and then noted bleeding from the [...]
