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Re: coding From: William McIntosh (williammcintosh@msn.com) Wed Apr 25 10:03:54 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: coding" Previous message: Dean Huffman: "A Doctor's Disciplinary-Action History Is at Your Fingertips" Maybe in reply to: Robert J Woolley: "coding" Next in thread: art fougner, md: "Re: coding" We are using the preventative medicine visit codes, but we are not using the -52 modifier, as we are performing a moderately complete physical exam, as well as a highly detailed breast and pelvic exam, which satisfies the criteria. I suspect that you may be doing the appropriate amount of work for the full value of preventative medicine codes as well. We had to improve out documentation to include all the details that we were noting on a more subconscious level (normal hair distribution pattern for example). William D McIntosh MD FACOG Clarksville, TN >----- Original Message ----- From: "Robert J Woolley" <wooll005@tc.umn.edu> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com> Sent: Tuesday, April 24, 2001 5:01 PM Subject: coding > 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? > Next message: art fougner, md: "Re: coding" Previous message: Dean Huffman: "A Doctor's Disciplinary-Action History Is at Your Fingertips" Maybe in reply to: Robert J Woolley: "coding" Next in thread: art fougner, md: "Re: coding"

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