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dx question

Tammy Posted Thu 05th of May, 2016 09:08:28 AM
hello, on your: Ob-Gyn Coding Alert - 2016; Volume 19, Number 4 you talked about Z01.419 and Z00.00 some of our providers do a complete annual physical and add both Z01.419 and Z00.00 code do we have to add both to the claim? or does Z01.419 cover both the general physical exam and the gynecological exam? thanks.
SuperCoder Answered Fri 06th of May, 2016 07:22:19 AM
Hi, Dx Z01.419 is for gynecological exam and Z00.00 for general physical exam. Dx Z01.419 doesn't include physical exam. If a woman comes in for a general physical exam you can code the prevent visit with the icd 10 code for the general exam z00.00 ( assuming no abnormal findings) if she then comes in for a well woman exan in a week,a month or even the next day you code the prevent visit again and use icd 10 code z01.419 ( if no abnormal findings)

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