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Billing for urine collected the next day after the physical

Patti Posted Sat 01st of December, 2012 01:01:22 AM

During a physical or sick visit, the patient is unable to provide us with a urine specimen. They return the next working day. We bill urine dip-stick only 81000, urine dip-stick/micro 81002. Should these services be billed an additional co-pay, since they were not performed on the day of the physical? If the physician speaks with the parent about the results in the office when the urine is dropped off, should we charge a consultation code (child not present)? If the child is present with the parents in the exam room and the doctor discusses the urine results, prescribes an Rx, or checks the child, can we charge a 99212?

SuperCoder Answered Mon 03rd of December, 2012 19:48:23 PM

Hi,

We will get back soon with the answer. Please be patient.

Thanks

SuperCoder Answered Thu 13th of December, 2012 04:02:10 AM

Thank you for your question. There is no black and white answer to this question, but most coding experts agree that it could be conceived as potentially unethical to create a face-to-face visit with the doctor during a urine dropoff, since E/M services must be medically necessary. Whether you must bill the patient a copay on the date of service of the urine dipstick test is up to your insurance contract. Some will require you to collect a copay on both days while others will not.

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