Forum - Questions & Answers

Aug 29th, 2013 - kdavenport

Medicare well woman exam

can I code G0101, Q0091 and G0439 on the same dos for a well woman exam.

Aug 29th, 2013 - nmaguire   2,606 

re: Medicare well woman exam

An annual Well Woman Exam is a completely separate evaluation and management service from an AWV (Medicare). Q0091 is reimbursed by Medicare every two years unless the patient is considered high risk and then it is allowed on an annual basis.
b. Per the CMS website, the ICD-9-CM Codes billable with the Q0091 are V76.2, V76.47, V76.49, V15.89, and V72.31.
G0101 is reimbursed by Medicare every two years unless the patient is considered high risk and then it is allowed on an annual basis.
According the CMS website, the ICD-9-CM Codes billable with the G0101 are V76.2, V76.47, V76.49, V15.89, and V72.31. Select the appropriate codes.
So, how are you defining "Well Woman Exam"?
http://www.acog.org/~/media/Departments/Coding/2013MedicarePreventiveServices.pdf

Aug 29th, 2013 -

re: Medicare well woman exam

what the different codes for a annual well woman and awv

Aug 29th, 2013 - nmaguire   2,606 

re: Medicare well woman exam

Well Woman CPT® Codes New Patient: 99384, 99385, 99386, or 99387
Established Patient: 99394, 99395, 99396, 99397

AWV: http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/mm7079.pdf



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