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Posted By Deborah Roorda on 03-20-2019, 08:43:15 in Ob-Gyn
Our doctors are doing the patient annual/preventative exam and coding it with Z01.419 w/o abnormal findings, then billing a separate E&M for menorrhagia, pelvic pain, and any thing else that they treat or schedule to be treated. They will order ultrasounds, labs, endometrial biopsy but still state no abnormal findings. What qualifies as abnormal findings? Also, if they order ultrasounds , endometrial biopsy, etc. , isn't that included in the procedures or labs, and the follow up E&M they charge and shouldn't be charged separately at time of annual/preventative exam? I am hoping for some clarity on this situation. Thank you.