pap smears

Hi-
If a patient sees a provider for a yearly physical and the gyn portion and pap is done separately by the PA how would this be coded? ? split visit. Also if the PA is doing the gyn portion of the visit on a completely different day how would this be coded? ? diag and CPT code.
Thank you,

really??

Never heard of that set up!

In the first, I would bill a well visit with the doctor as provider. One visit code 99396 with V72.31. No extra credit for having 2 sets of hands touching the patient.

In the second case, the first visit is a V70.0- routine exam with physician and the second visit to the PA is a V72.31 well gyne exam under their NPI; both visits get the same code- 99396. Many insurers cover well care up to a certain dollar amount no mater how many providers are seen.

paps

If both physicians bill under the same Tax ID would this still apply in the second scenario?

I stand by my answer

but of course the insurance company may not. I would think they will look at the NPI not the tax ID- many large groups bill with one Tax ID so that can't be the determining factor.