ollielooya
True Blue
One of our family care practices asked if it was required that we enter the ICD-9 code for tobacco abuse because it would trigger a "problem" visit that folks would have to pay in addition to their preventive visit (unless they had another disease state like COPD that applied). They wanted to know if perhaps the Preventive Medicine counseling codes of 99401-99409 could be utilized in a "general" sense, especially if they are counseling on a "multitude of things?" I've studied the submissions here on the forums and the helpful links provided.
I'm new to Preventive Coding yet my radar is going off and warning "no, this can't be done" because it violates the rules of specificity. Furthermore, it clouds the issue of documentation and I'm having a difficult time with that. Comments?
And then, there's the issue of "carve outs". Yikes!! A general preventive exam in addition to a problem exam on the same date of service falls within this spectrum, correct?
I'd like answers in regards to BOTH commercial and MCR policies, and apologize in advance if this post needs to supply additional specifics. Direction from my colleagues, please?
---Suzanne E. Byrum, CPC
I'm new to Preventive Coding yet my radar is going off and warning "no, this can't be done" because it violates the rules of specificity. Furthermore, it clouds the issue of documentation and I'm having a difficult time with that. Comments?
And then, there's the issue of "carve outs". Yikes!! A general preventive exam in addition to a problem exam on the same date of service falls within this spectrum, correct?
I'd like answers in regards to BOTH commercial and MCR policies, and apologize in advance if this post needs to supply additional specifics. Direction from my colleagues, please?
---Suzanne E. Byrum, CPC