We were coding V25.xx as 1st (many time only listed) code for patient coming in for BC refills. Now insurance companies are denying this on E/M visits. Can anyone help me with this? Direction to documentation would be helpful.
Example: patient comes in for BC refill, office notes state "no complaints" patient presents for refill of BC. The provider is selecting 99212 or 99213, they are doing a general exam and discussion, however, they don't have enough information/documentation to code to Well Visit.
Example: patient comes in for BC refill, office notes state "no complaints" patient presents for refill of BC. The provider is selecting 99212 or 99213, they are doing a general exam and discussion, however, they don't have enough information/documentation to code to Well Visit.