tci E/M Coding Alert - 2024 Issue Q1

FAQ: Seek Clarity on New Pelvic Exam Code

Find out which Medicare codes aren’t compatible. Many coders may not feel confident about using the new add-on code +99459 (Pelvic examination (List separately in addition to code for primary procedure)), which has been available since Jan. 1. If this resonates, these frequently asked questions (FAQ) can help. Question 1: Why did CMS add this code? According to the American College of Obstetricians and Gynecologists (ACOG), the Centers for Medicare & Medicaid Services (CMS) created this to “assist with the cost of pelvic examination packs, such as speculums, and in-room chaperones for patients receiving female pelvic examinations...

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