Re: coding

From: art fougner, md (evsono@pipeline.com)
Wed Apr 25 10:32:06 2001


are there modifiers for practitioner? ie nurse vs doc, primary vs specialist, etc? if not, why not???

art

At Tue, 24 Apr 2001, Robert J Woolley wrote: >
>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?

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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