Wiki Please Help! Medical Documentation Requirements for Well Woman Exam.

lorrib

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Hello,

I need some assistance in where to obtain the documentation requirements for a well woman exam. One of our providers performed stated she performed a well health exam (99387) with pap with the diagnosis code Z01.419 routine gyn exam without abnormal findings; however the physical exam part was very small. I am concerned that this would not meet the physical exam portion of a well woman exam and I am trying to find the specific documentation requirements for the physical exam portion. Patient has a commercial insurance. Can someone please provide me with a link or area where to find these guidelines? The American college of Obstetricians and Gynecologists (ACOAG) is kind of vague on this. If anyone can assist me or give me a link to what exactly is needed for the physical portion of the exam I would truly appreciate it.

Thank you so much,
Lorri
 
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