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Marilyn Posted Tue 16th of July, 2013 19:07:13 PM

Patients insurance covers 100% preventative care. How will I bill when the Dr. also performs a UDS(urine drug screen)when patient is seen for preventative care only?

SuperCoder Answered Thu 18th of July, 2013 09:33:54 AM

You should be able to report the code for the UDS in addition to the code for the preventative care. Coverage will depend on the payer’s policy and the particular case. A recent Family Practice Coding Alert noted, “Under the Affordable Care Act, health plans are generally prohibited from financially obligating patients for a covered preventive service, so patients presenting for a preventive medicine visit typically expect that there will be no charge to them for any portion of the encounter,” notes Kent Moore, senior strategist for physician payment at the American Academy of Family Physicians in Leawood, Kan. “However, problem-oriented E/M services and procedures may be subject to deductibles and patient-cost sharing, so if you are going to provide either one during a preventive visit, the patient needs to understand the possible financial implications of that, which avoids any surprises when the explanation of benefits and your bill arrives later,” adds Moore.

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