Proper coding

Im new to billing.
obgyn office
billed 99397 V72.31 w/ 81000 595.0
99397 denied. can I submit correct claim & should I add modifier<
Thank you

Nov 21st, 2013 - nmaguire 2,606

re: PROPER CODING

Really cannot comment without facts. To code 99397 your documentation must show a complete physical based on age. V72.31 only documents a GYN exam. V70.0: Routine general medical examination at a health care facility:Health checkup. Is this a Medicare patient? If so see G0101 for carve out Pap/Pelvic exam. Medicare does not cover Preventive physicals in this code range.