Question: What diagnosis code would I use if the patient is requesting labs for work? Virginia Subscriber Answer: For claims prior to October 1, you could go with V72.62 (Laboratory examination ordered as part of a routine general medical examination), V72.69 (Other [...]
Hint: Don’t forget to report appropriate diagnosis codes to support medical necessity. When your Internal medicine specialist performs behavioral counseling to prevent sexually transmitted infections, you will need to know what code to report for this service in addition to [...]
Hint: Don’t forget to report appropriate diagnosis codes to support medical necessity. When your FP performs behavioral counseling to prevent sexually transmitted infections, you will need to know what code to report for this service in addition to being aware [...]
From pain management injections to TB testing, we’ve got your answers. Although performing injections might take place several times a day at your practice, there’s still a good chance that your practitioners are selecting the wrong codes for these confusing [...]
Question: A patient visited our provider for a PPD (TB test).Should I include an office visit code? Florida Subscriber Answer: No. There is no actual E/M service done during a visit where the sole purpose is the administration of PPD. Instead, you [...]
Question: Our insurance company bundles an office visit with the code for PPD administration and paying one or the other, but not both. Should we file something differently? North Carolina Subscriber Answer: Ensure you’re reporting the correct codes for the office and [...]
Question: A patient came in for her annual routine exam. While she was in the exam room, she requested a STD screening as well. Doctor did annual exam with Pap and took cultures for the STD screening. What would be [...]
Examine both the annual and nonscheduled exam scenarios. Global maternal care depends on the method the ob-gyn uses to determine if a patient is pregnant, but coding for the clinical diagnosis of the pregnancy becomes complicated when you have to [...]
Question: We are having issues when Medicare is the primary insurer. They do not want to cover anything listed with a V22.1 dx code. Our physician normally does: prenatal panel (which they split up, and RPR and HIV is not allowed [...]
Question:We were told that we could bill Medicaid when we read TB test results. Is this true?Texas SubscriberAnswer:Yes, you can bill for the test reading as a separate E/M visit. Report 99211 (Office or other outpatient visit for the evaluation [...]
