espforu
Guru
If a patient comes in for annual gyn exam not including a pap(just a breast and pelvic exam). Should the preventative medicine code be used? If not what cpt code do we bill? I am thinking the preventative as it is just preventative. The provider is saying no and is concerned that the patients insurance would deny when the patient goes to their primary care provider for a general preventative medicine visit.
My thoughts are when the preventative medicine code is submitted with the diagnosis of encounter for gyn exam(Z01.411 or Z01.419) it will clarify that the exam was only GYN not a routine.
Thoughts? If you have any references I can provide it would be wonderful
Thanks!
My thoughts are when the preventative medicine code is submitted with the diagnosis of encounter for gyn exam(Z01.411 or Z01.419) it will clarify that the exam was only GYN not a routine.
Thoughts? If you have any references I can provide it would be wonderful
Thanks!