Re: Coding new question
From: Meenan, Anna (annam@uic.edu)
Mon Jan 7 19:22:17 2008
Well, since I don't do colpos (trained before FP's started doing them
and never had time to learn after that), I'm less sure about that
one, but I don't think you can code an E&M along with a procedure
unless the E&M is for a separate condition than the one which
necessitates the procedure (i.e. if I did a mole removal in my office
and patient asked about URI sx during the visit---code E&M with a
modifier--can't remember which modifier because I don't do office
coding anymore--25 or 59, I think, but don't quote me)
Anna Meenan, MD
>Anna,
>
>thanks for that explanation.
>
>Next question or scenario. 22 yo G1P1 was seen two weeks ago for
>her postpartum exam. I did a complete H&P/exam etc at that time and
>billed it appropriately (one would hope) Her pap returned as LGSIL
>and she now needs a colpo.
>
>Obviously, all the history and completeness of the physical do not
>need to be repeated.
>
>The CPT code will that of a colposcopy with biopsy.
>
>What would the E/M code be and how does it relate to what you are
>paid for the procedure?
>
>The same scenario I would assume to be that for an EMB after a
>yearly, or IUD after a yearly or postpartum exam.
>
>Thanks,
>
>Glen
>
>>----- Original Message ----
>From: "Meenan, Anna" <annam@uic.edu>
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Sent: Wednesday, January 2, 2008 4:07:50 PM
>Subject: Re: Coding
>
>99234 is used when all the services provided to an observation
>patient (both admission and discharge) occur on the same day.
>
>99217 is used to code the services involved in discharging an
>observation patient who was admitted to observation status the day
>before.
>
>Anna Meenan, MD, FAAFP
>
>>Does anyone out there think they are savy enough with coding to
>>answer a few questions? Could be off list or on list as you see
>>fit.
>>
>>Mine for today is understanding the difference between 99217 and
>>99234 when it comes to outpatient observation, for instance the
>>rule out PTL that is on the unit for 2-3 hours. Both to me sound
>>similar in description, both require a minimal amount of
>>documentation.
>>
>>Maybe we (meaning I) should start some sort of coding question of
>>the day. I'd like to see how we each approach coding.
>>
>>Thanks,
>>
>>Glen
>>
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>
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