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codingFrom: Robert J Woolley (wooll005@tc.umn.edu)Tue Apr 24 16:57:33 2001
Our office is having a minor disagreement about the proper way to code for routine annual gynecologic exams. For the moment, assume that one is doing just breast/pelvic exam, perhaps renewing an OC prescription, but no specific problems addressed otherwise--in other words, just preventive care. Are y'all using E/M codes for this? If so, at what level (typically), and what diagnostic code? Are any insurers requesting that it be done differently? Our coding specialist insists that these should be coded as preventive medicine visits (99394-99397, depending only on age), with a -52 modifier to indicate reduced service (since it's not a complete multisystem exam). Although I see the technical legitimacy of that theory, it ain't the way I've been doing it. Do any of you do it that way?
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