dballard2004
True Blue
I'm going to throw this question out here to see what other opinions might be....I have a female patient who presented to the office for her annual pelvic exam. The provider performed the pelvic exam and obtained a pap smear.
My question is this....would this be coded as a preventive E/M or as a regular Office/Outpatient E/M (99201-99215)? My providers all want to use a preventive E/M, but I say it should be coded from the 99201-99215 category. Preventive exams are supposed to be comprehensive. If the provider is only performing the GYN only, then this is not comprehensive, but a single organ system exam and since the GU component of the 1997 guidelines has a bullet for a pelvic exam, I say it is included in the 99201-99215 code.
Thoughts?
My question is this....would this be coded as a preventive E/M or as a regular Office/Outpatient E/M (99201-99215)? My providers all want to use a preventive E/M, but I say it should be coded from the 99201-99215 category. Preventive exams are supposed to be comprehensive. If the provider is only performing the GYN only, then this is not comprehensive, but a single organ system exam and since the GU component of the 1997 guidelines has a bullet for a pelvic exam, I say it is included in the 99201-99215 code.
Thoughts?