tci E/M Coding Alert - 2021 Issue Q1

Specialty Spotlight: Know When, When Not, to Code Pap Services With Physicals

Medicare says yes; CPT® not so much. When your female patients report for their yearly physicals, are getting your full reimbursement? If you don’t know the difference between Medicare and private payer guidelines, chances are you’re not. So, here’s a quick rundown of the rules to help you boost your bottom line easily and ethically. Understand the Visit Codes You’ll typically report an annual physical with a preventive E/M service such as 99396 (Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction...

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