Wiki 99213 with 99395

[tford]

My provider includes a thorough medical examination reviewing all systems from head to toe while perfoming a gynecological exam. Is it acceptable to bill a 99213 as well as 99395???

Thanks, tford

 

[missy874]

The head to toe is included in the 99395. Was there a separately identifiable medical concern that was evaluated as well?? One that is not a stable chronic illness ?

 

[mdoyle53]

You can only bill the office visit if there is a separately identifiable issue that is examined and this must meet the requirements of a 99213 as far as exam and MDM. From your description, your provider only performed the physical.