You can post a question only up to 7 days from the date of the webinar.
You can continue to post comments and stay informed, compliant, and profitable.
Close
This session has expired.
Register for our upcoming webinars & continue to get coding, compliance & reimbursement updates.
Close

Post

Vote
0
2 Followers Follow
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.
Comments (1)
Posted By Melanie Witt on 03-20-2019, 17:05:37
Unless they actually perform a complete evaluation of a complaint(s) the patient has at the time of the annual, they should not be billing for a separate E/M if they are just ordering tests. By complete, I mean there needs to be an HPI related to the problem the patient presents with, and a separate exam (not related to the pelvic exam) or a separate history (not related to the comprehensive history they were already supposed to include as part of preventive care), and of course there has to be something other than minor medical decision making. If they have accomplished this, then they can bill both a preventive and problem visit on the same date of service - just remember that you cannot double count elements that were counted toward preventive as also counted toward the problem visit. If the patient is presenting with problems at the time of the annual, and any of the problems encountered are related to the gyn exam, then you should use the abnormal findings code.
Do you want to remove this attachment from this post?
Yes No
Do you want to add this specialty to your selected specialty list?
Yes No
To comment, please register for any of our webinars. Click here to register for our upcoming webinars.
Close
This comment will be permanently deleted. Do you still want to continue?
Yes No
Do you want to remove this comment from this discussion?
Yes No
Do you want to block this user from participating in this discussion?
Yes No
Do you want to allow this user to participate in this discussion?
Yes No
This post will not be available for further discussion/comments if deleted. Do you still want to continue?
Yes No