BC Advantage - 2008 Issue 1

Medicare and Physicals

Recently, I have been receiving e-mails and I have been seeing questions asked on the many Medical Coding and Billing Forums regarding Medicare patients and routine physicals.  The question most asked is, "Does Medicare pay for physicals and if so, what code do I use?"  This is an honest question and is easily answered.Medicare does NOT pay for routine physicals.  Routine physicals are a non-covered service and are an out of pocket expense for the Medicare patient.  You do not have to send a claim and you do not need to have the patient...

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