billing for annual well woman visit

In billing for annual well woman what is the best way? Just bill V72.31 or V72.31 and then submit separately for Pap, GC/CH culture and HPV typing? Also where does office visit fit in this scenario.

Thanks
Miriam

It depends

If it is just a well exam, then V72.31 with the age appropriate CPT code 9938x to 9939x. As to billing for labs, if you are allowed to bill the insurer directly, then go ahead and bill for them and you pay the lab charage, You cannot do that with Medicare and many other nsurers forbid pass-thru billing. With Medicare you can bill a G0101 and a Q0091 but you can't charge the 9938x without a signed ABN.

If they also have a problem, like menorrhagia, that is addressed, add a 9921x code and -25 linked to that diagnosis.

Well women exams

take a look at some of the articles in Codapedia, written on the topic. Here are a few links:

http://www.codapedia.com/-article_351_.cfm

http://www.codapedia.com/-article_358_.cfm

http://www.codapedia.com/-article_63_.cfm

http://www.codapedia.com/-article_41_.cfm