Examination for medicolegal reasons (V70.4)

ICD-9 code V70.4 for Examination for medicolegal reasons is a medical classification as listed by WHO under the range -PERSONS WITHOUT REPORTED DIAGNOSIS ENCOUNTERED DURING EXAMINATION AND INVESTIGATION.

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No qualifying visit? e/m est patient new

Provider is wanting a 99202 for this visit. I do not feel this visit has enough documentation for a qualifying visit. Does anyone see something I may be missing? Thank you Primary Care Provider: Acc... [ Read More ]

Preventive CPT vs. School Physical

Is this for a sports physical only, our clinics charge a flat fee and don't bill insurance. If the patient is also do for their well-child visit, the provider may combine the services and bill a prev... [ Read More ]

Preventive CPT vs. School Physical

Should a Preventive code be used when a patient has a School Physical using diagnosis code V70.5?... [ Read More ]

Preventative with positive rapid lyme

I feel like its appropriate to add an additional E/M addressing patient complaint fatigue along with a preventative. Am I correct and after review I believe the E/M would be 99213 and also should th... [ Read More ]

TAVR denials

[b]Question[/b] [QUOTE="Misty Dawn, post: 317594, member: 106810"]Is your doctor working with a doctor in another office? When one claim denies both will deny. This happened with us. So if your cl... [ Read More ]

Preventive Visits and ICD 9 Diagnosis Codes

Every preventive visit should be reported with an appropriate ICD-9-CM diagnosis code to reflect the reason for the visit. The most commonly used diagnosis codes associated with preventive services in... [ Read More ]

Coding E & M For Dentists And Separate Code For Screenings Ordered By DDS/DMD

[b]Screening For Caries Risk[/b] The DDS/DMDs that I work with are doing more than charting the dental defect/condition... they are beginning to delve into the WHY... old days: you need 4 fillings a... [ Read More ]

Can i bill G0402 with V72.31

Hi, I work for denial management, we see a pt who came in our office for routine gyn examination and the claim was billed with 99386-V72.31.Now Medicare denied as non-covered charges”. ... [ Read More ]

Gyn Wellness exams

[b]Z01.419[/b] I work for family practice and use Z01.419 for just the pap smear. If we have a female patient that sees GYN for paps, we only use Z00.00. We haven't had a denial yet using ICD-10, b... [ Read More ]

Coding for Physical exam

I am getting some denials for Lab coverage (i.e. Quest or Lab corp) from Medicare for claims under the v70.0 code (prior to Oct. 1, 2015). If this is a healthy patient without any complaints or medic... [ Read More ]

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