Wiki Daycare billing

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El Paso, TX
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I have a silly question?
We have a patient with Aetna. The child is 4 years old. He had is 4 year physical in December. Commercial insurances usually only cover one physical per year, but we have this same patient that needs a Daycare Physical. Is there a modifier that I can use when billing this physical or should we charge our self-pay fee for physical exams?
FYI- I called and spoke to someone from AETNA, and it was stated that the there is 0 copay and 0 deductible for this DAYCARE service. It just didn't seem right, and that is why I came to this forum :eek:
 
This does not meet the criteria for a mandated service so 32 is not appropriate. This would like a sports physical for school age children most will use unlisted preventive and bill the patient.
 
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