natfos6
Contributor
can someone advise me on how to bill a medicare patient for an annual? I am new to Gyne coding and am not clear on how this works.
thank you.
thank you.
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Wiki annuals on Medicare patients
- Thread starter natfos6
- Start date
kathy a
Guru
I have coded a medicare annual as such:
G0101-GA-as long as there is a signed ABN in her chart. If not don't use the GA modifier.
Q0091-for the pap
G0328-QW-if a hemmocult was done
I would put a separate diagnosis code with each one.
G0101-Ga-dx- V72.31
Q0091-dx V76.2
G0328-QW-dx V76.51
Hope this helps.
Kathy
G0101-GA-as long as there is a signed ABN in her chart. If not don't use the GA modifier.
Q0091-for the pap
G0328-QW-if a hemmocult was done
I would put a separate diagnosis code with each one.
G0101-Ga-dx- V72.31
Q0091-dx V76.2
G0328-QW-dx V76.51
Hope this helps.
Kathy
mitchellde
True Blue
Read in the ICD-9 book the V76.2 is inclusive with the V72.31 therefore you do not code them together, you link the V76.31 to the Q0091, You do need to know if this was a cervical PAP. If the patient has no cervix due to a total hyst then the PAP performed is a vaginal PAP and is coded as a V76.47
kathy a
Guru
There isn't a diagnosis code V76.31. You must have made a typo.
The diagnosis per Medicare should be screening for cancer - V76.2 (cervical). The CPTs referrenced above are correct. Also if a patient is high-risk then that would be noted as primary - v15.89. Check with your local carrier for the LCD on file for more direction.