I am needing help understanding the medicare preventative services. I understand that Medicare covers a "welcome to medicare" physical. and they are also covering a physical every 2 years (w/high risk being covered yearly??), and now with the healthcare reform as of Jan. 2011 they will cover them yearly. Until then lets say a pt comes into the office for an "Annual" visit when medicare is not going to cover the visit, how would you code that? here is an example visit:
HT: 5'0''
WT: 119
BP: 160/92
Allergy: NKDA
CC: Annual
HPI: 69 yo P2 PM no bleeding, no D/C
History:
Last Mammo: 2/2010
Last Exam: 2/3/09
Last Colonoscopy: 2008
Last bone density: 11/18/08
Exam:
HEENT: NL
NECK: NL
Breast: Sym
ABD: Soft, NT
EXT:
Atrophic
VAG:
UT: AV, NT
CX,AD: no masses
Rectal: no masses
Hematest (-)
Labs:
UA: (-)
Assess and Plan:
SBE/ year
BMD
Fosamax 70mg
Gen Cx
Codes billed:
99215
81002
G0328-GW
88142
ICD:
627.3
733.9
610.1
627.2
HT: 5'0''
WT: 119
BP: 160/92
Allergy: NKDA
CC: Annual
HPI: 69 yo P2 PM no bleeding, no D/C
History:
Last Mammo: 2/2010
Last Exam: 2/3/09
Last Colonoscopy: 2008
Last bone density: 11/18/08
Exam:
HEENT: NL
NECK: NL
Breast: Sym
ABD: Soft, NT
EXT:
Atrophic
VAG:
UT: AV, NT
CX,AD: no masses
Rectal: no masses
Hematest (-)
Labs:
UA: (-)
Assess and Plan:
SBE/ year
BMD
Fosamax 70mg
Gen Cx
Codes billed:
99215
81002
G0328-GW
88142
ICD:
627.3
733.9
610.1
627.2