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Reply with quote  #1 
Hi All:
 
Could anyone help me to find out the cpt for initial and subsequent annual gynecological examination done in office or Clinic without any current complaints or symptoms,
 
I doubt if the preventive medicine codes 99381-99387(initial) and 99391-99397(peroidic) suits the above scenario?
 
Wishing you all a "Happy & Prosperous New year 2012"

Thanks in Advance,
Dr.Jemimah Crescentia
 
pjensen

Super Moderators
Registered: 11/14/11
Posts: 753
Reply with quote  #2 
Dr. Crescentia,

So sorry but I am not an expert at this point on the preventive service codes because these are not strictly e/m visits.  I recommend you check with your specialty organization in your state.  They probably have a coder they can refer you to who will know the local rules.

PJ
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Reply with quote  #3 

Thanks for your guidance Dr.

nisarck

Registered: 01/15/12
Posts: 1
Reply with quote  #4 
new patient history detail examination EPF And MDM Moderate can you tell me level of e&m
pjensen

Super Moderators
Registered: 11/14/11
Posts: 753
Reply with quote  #5 
99202.
Unregistered
Reply with quote  #6 

In the world of annual gynecological exam, CPT code is for new pt pt 99384-99387 and established pt 99394-99397.  What identifies the gynecological aspect is actually the dx - V72.31. 

Let us not forget that annual gyn exam under CMS is two codes G0101 and Q0091, no differential between new and established and CMS only reimburses every 24 months, unless pt is "high risk" such as - already has had a genital Ca use V15.89 for high risk. Other protocol for high risk can be found in a CMS bulletin.  Otherwise, use V76.2 for Medicare Dx of routine gynecological exam
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Reply with quote  #7 
Addendum

If you do not think or know Medicare will not pay for an annual gyn exam for a pt then the patient needs to be informed and an ABN signed.  Sample of ABN can also be found in Medicare/CMS bulletin.  ABN = Advanced Beneficiary Notice.
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