Forum - Questions & Answers
Routine Annual Physical
What is the proper CPT® code to be used for a routine annual physical for both commercial and Medicare?
I am with a family practice / geriatric practice who has performed routine annual physicals however they have been billing under the new patient / established patient E & M codes.
routine
A routine physical exam, asymptomatic patient, not being treated for chronic diseases--CPT® codes are preventive medicine codes 99381-99397 (by age). The ICD-9-CM codes are V codes (ex, V70.0) for adult.
routine
That's what I believed; however, their prior billing department never did so. Thank you for your help.
if you are new to coding
you may not have been exposed to the past practice of docs billing physicals as ill visits to get them covered. if the patient says they have chest pain, the physical becomes an E&M for 786.50.