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Z00.00, Z00.01, Z00.419 when billed with sick OV

Hi, everyone!

I’m seeing a lot of claims where my providers are seeing patients for a CPE or a Well Woman Annual exam, and they’re using 99201-99215 along with Z00.00, Z00.01 and Z00.419 as the primary dx. The payers are paying the claims as they are coded, for the most part. I’m wondering if this is allowable, and my only gripe is the money we’re losing out on by not coding 99385-99397? Is there documentation I can show my providers that says that this is not allowed?

Thanks!

Medical Billing and Coding Forum