E&M Coding — Preventive E&M Coding with Modifier

E&M Coding — Preventive E&M Coding with Modifier https://www.cco.us/club/ Laureen: Q: This next question is about preventive E/M coding with a regular E/M and whether or not a modifier is needed. This reply was actually started by Alicia so I'm kind of stealing it. She might jump in and help me a little bit. From Amanda: Please help me understand how to properly code for a routine well-woman exam (preventative yearly check-up) for an established patient under 39 years AND a separate issue, like depression. (The primary reason for the visit is the preventative care, but during the visit the second reason, depression is discussed and patient issued prescription for meds and/or counseling). Wouldn't it be 99395, 99213-25? I'm SO confused with modifiers. Thanks for helping. I just have to say whenever I do this in class and we talk about preventative visits, I said, "You know well-visits and the well-baby check, the well-woman; ever noticed there's never any well-man?" But it's true, we never say that. Boyd: It feels like it's true on this side too. Laureen: Preventive medicine is basically your not-sick codes. You're not coming in with a diagnosis because it's a well-visit, it's a checkup. But oftentimes, they come in and sometimes a patient save up a problem that they planned on talking about; and other times, it comes up during the course of the evaluation. So keep that in mind. A: Here are a couple of definitions for you 99395 -- Periodic comprehensive preventive medicine re evaluation and management of an individual including an age and gender appropriate history, examination, etc. So, it's important for this, this is not based on your typical HEM (history, exam, medical decision making), it is based on the person's age and whether they're a new or established patient. Then, for example, if they're just a young teen or whatever, the physician is going to start talking and counseling the patient about STDs and safe sex and all that kind of stuff, even though they'll swear up and down, "No, no, no. I'm not sexually active and I don't plan on ever being," they will still go over because that's just part of what's included in that comprehensive well-visit, if you will. ---------------------------------------- CLICK HERE: https://www.cco.us/ceu-respiratory-hemic-lymphatic-on-demand-class-yt ---------------------------------------- More Information about E&M Coding — Preventive E&M Coding with Modifier: Observation - Physician Coding FAQ // ACEP http://www.acep.org/.../Observatio... American College of Emergency Physicians Observation Admission and Discharge Codes (same day) (for Medicare the .... Manual (Medicare) describes: "For a physician to bill observation care codes, ... Getting Paid: How to Code for Observation Services - Family ... http://www.aafp.org/fpm/.../p23.html American Academy of Family Physicians The author provides tips for coding and billing for complicated observation services, such as when an observation stay lasts more than one day or changes to ... Definitions E/M coding, EM evaluation and management ... http://emuniversity.com/Definitions.html E/M coding is the process by which physician-patient encounters are translated into five digit CPT codes to facilitate billing. CPT stands .... See when to use the observation codes and how to complete the documentation correctly. Cr ---------------------------------------- CLICK HERE: https://www.cco.us/ceu-respiratory-hemic-lymphatic-on-demand-class-yt ---------------------------------------- People who watched this video: https://youtu.be/ghZ8uz2Dt2U Also searched online for: Searches related to observation coding and billing billing observation codes to medicare cms calculating observation hours coding observation bill coding jobs bill coding salary bill coding certification observation coding guidelines 2014 observation coding scheme observation coding sheet coding observation charts ------------------------------------------- FOR MORE DETAILS: https://www.cco.us/ceu-respiratory-hemic-lymphatic-on-demand-class-yt ------------------------------------------- CONNECT WITH US: http://www.facebook.com/cco.us http://www.youtube.com/medicalcodingcert http://www.youtube.com/codingcertification https://www.pinterest.com/certcoachingorg/ https://plus.google.com/+CodingcertificationOrg https://www.linkedin.com/company/codingcertification-org ------------------------------------------ Don't forget to check out our YouTube Channel: https://www.youtube.com/user/MedicalCodingCert -------------------------------------------- #billingobservationcodestomedicare #billcodingjobs #billcodingsalary #billcodingcertification #observationcodingguidelines2014 #observationcodingscheme #observationcodingsheet #codingobservationcharts #cms calculating observation hours -------------------------------------------- VISIT OUR SITE: https://www.cco.us/