Forum - Questions & Answers

Dec 3rd, 2013 - Suewentworth

Female physical exams with PAP and breast exam

What is the correct way to bill for a physical including a pap and breast exam. I know to use the correct age appropriate E & M preventative codes but what about the pap collection and pelvic exam and also a breast exam?

If the pap and pelvic exam are not done on the day of the physical, when the patient returns to have this done can you bill an E & M code with it?

Dec 3rd, 2013 - nmaguire   2,606 

re: Female physical exams with PAP and breast exam

Medicare: http://www.acog.org/~/media/Departments/Coding/2013MedicarePreventiveServices.pdf

Non-Medicare--the Pap and pelvic are included in codes 99381-99397-cannot bill separately even if done on another day after the preventive exam.



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