Can anyone tell me if a nurse practitioner billing "Incident To" can see pediatric patients for their annual well checks? When the patient comes in for the well check, they have a new complaint such as ear pain. Upon the exam by the APN, the pt is found to have otitis media and is prescribed antibiotics. If their is only 1 note and the supervising physician did not see the patient, just signed off as being present in the suite during the visit, should we just be billing for the well check? Or should the supervising physician go in to the room and address the ear problem and prescribe the meds? How would we handle this situation?
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Tag Archives: well
2018 Salary Survey: Credentials Serve Our Members Well
Data shows the time to get certified is now. AAPC’s Salary Survey results this year show the overall average salary for healthcare business professionals is $ 51,889, while the average credentialed member makes about $ 54,500. Specifically, those who hold a Certified Professional Coder (CPC®) credential average $ 54,401 (up nearly 9 percent from last year), and those […]
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Well woman exam with hormone therapy
Hello,
52 years old Established Patient come for Gynecological Exam
HPI: Patient doing well except she is getting some flushes and flashes on the lower dose of estrogen
…..
…..
& for A/P : Well woman exam, Menopausal woman, On HRT with now some symptoms, once to evaluate the doses
"Discussed options with hormone therapy versus decreasing dose versus nothing versus how long she can take it and risks. I discussed the risks, benefits and alternatives to hormone replacement therapy with Heather. We discussed the results of the Women’s Health Initiative and the guidelines for HRT from ACOG. Some of the risks include stroke, clot, dvt, PE and she understands these risks and wants to take HRT". And Medication ordered: progesterone (PROMETRIUM) 200 mg capsule, Estradiol (DIVIGEL) 0.5 mg/0.5 gram (0.1 %) Gel in Packet.
Can we code extra 99213 with 99396?
Hormones review is included annually WWE?
Thanks
Helen
Can you bill both a preventive well check AND an annual wellness visit?
If I have a patient with primary UHC and secondary Medicare, can I bill a preventive visit (99387) to be paid by UHC AND an AWV G0438 to be paid by Medicare? This would be assuming all aspects of both services are being performed.
Thanks!
Emily
Medicare Annual Wellness Visit and additional Well Woman Exam
Hello, fellow coders:
One of my providers performed an AWV and a separate well woman exam on two different dates of service. Since both were preventive, triggering use of G0468 (we’re an FQHC), Medicare paid the first well woman visit, but denied the AWV. My billing manager wants the provider to change the CPT code to an office visit (G0467) to get it paid, but the provider coded both correctly as preventive, with SOAP notes corroborating the coding. Has anyone had any luck in getting both an AWV and a well woman visit paid by Medicare?
Thanks,
well child exam
so I was wondering when it comes to well child exams can z00.121 and z00.129 be used in the same chart.
For instance a child the age of 6 comes in and they have a hemoglobin check (85018) done which is normal, and they have some acute illness that would render the z00.121. Could you have the hemoglobin (85018) with the z00.129- encounter for routine child exam without abnormal findings, and 99393 (established patient age 5-11 yrs) with a z00.121- encounter for routine child exam with abnormal findings, as well as whatever the abnormal problem DX is on the same chart? Or does everything on the chart become a z00.121 since there was an abnormal finding? Please help and thank you for your time!
Well woman exam
Patient comes to gynaecologist for well womens exam but declines vaginal, cervix and uterus examination (breast where examined). can i still code diagnosis Z01.419(Encounter for gynecological examination (general) (routine) without abnormal findings)? or do i use Z00.00(Encounter for general adult medical examination without abnormal findings)?
well woman by family practice doc
I work for family practice docs and sometimes the patient is coming in for a pap/well woman exam. Commercial insurance. Should I be billing a 9939x with the Q0091? Because what if the patient decides to have an actual annual wellness visit a few months down the road? I would think it would get denied.
Transition Care Management Code w/ Well Baby
Do you know if a TCM code 99495 can be billed with 99392?
Can well child visits be billed without administering immunizations?
I work for an FQHC. We no longer have VFC’s for immunizations. Can we bill for well child visits without doing the immunizations? We were trying to see if we can perform the well child visit and send the patients to the health department for immunizations? Please Help!