Forum - Questions & Answers

May 8th, 2012 - TerryC 39 

Help please, coding well woman exam's

When a OBGYN is doing a well woman exam on a patient how is the best to code this. Sometimes they just come in for a "pap" only, we useG0101. If they discuss contraceptive options or maybe hormone replacement, or other "female" problems, how is the best to code these. Can we use the G0101 for the pap and an E/M code for the other "female" problems. our billing department says if the problems are "female" related it should all be covered under the G0101. The insurance's says it is all "related to the G0101 female exam. This doesn't seem fair if the doctor is spending extra time talking about other "female" issues. Also can the OBG doctor bill for the "physical codes" or what all would need to be in his notes re: the physical? Thank you sorry so long

May 8th, 2012 -

re: Help please, coding well woman exam's

v72.31, CPT® is age appropriate wellness exam (?99285- no code book - guessing)



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