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V70.0 and V72.31

Suhel Posted Wed 01st of February, 2012 00:37:24 AM

My doctor did a physical, pap and EKG and addressed specific medical issues, all in the same visit. Can i use both, V70.0 and V72.31, along with other dx codes for the medical issues, to bill for this visit? The cpt codes i want to use are 99204-25, 99396, 93000.
Thanks in advance for any help.

SuperCoder Answered Thu 02nd of February, 2012 14:12:23 PM

For billing 99204, the visit has to be a problem-oriented first visit.
For billing 99396, if it is well-woman exam (based on guidelines of well-woman exam), then bill V72.31, otherwise it should be V70.0
For pap, although there is practice of using Dx like V76.2, but you can use V72.31 also.

Suhel Posted Thu 02nd of February, 2012 17:50:40 PM

Thanks for the reply, Sanjit. It was a WWE and a complete physical...my doctor did an EKG as part of the patient's physical. I wanted to use V70.0 to link to CPT code 93000(EKG) and V72.31 for the WWE portion and link it to 99396. That's why I wanted to know if i could use both Dx codes, V70.0 and V72.31, on the same claim. Thanks

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