Wiki Dot physicals

[jeaner54175@yahoo.com]

Our billing office has been having a discussion on how to code/bill for DOT physicals. Our providers are not consistent with coding them, some use an evaluation and management code and others will use the preventive visit code and then the patients are complaining that we charge too much. Can anyone give me some insight on how we should be coding these types of visits.

Thank you,
Lisa Nieft

 

[jamie@samwille.com]

Our office bills V70.3 and the physical code that is age based. But we are sure to document all the requirements for the 9939_. Since most insurance carriers do not cover this we usually discount the charge to 50.00. We think this is fair for the time spend and paperwork required. If you charge to high you risk losing those patients who can go to a Take Care Clinic or another practice down the street and pay less. Take a small hit on the DOT and keep them as a patient when they are sick etc...

 

[nkoons]

In our office we charge $85 and inform the patient that most insurance companies do not cover a DOT. If they want it sent to their insurance we will send it but we make it clear that it is their responsibility if they do not pay. We use code 99455 with the V70.3.