tci Medicare Compliance & Reimbursement - 2024 Issue Q2

Part B Coding Coach: +99459: 5 FAQs Clarify How to Use This Expense Only Code

Here’s what your physician’s documentation needs to include. Since January 1, you can use the new add-on code +99459 (Pelvic examination (List separately in addition to code for primary procedure)), but many coders are still confused as to how they can report this. This FAQ can help. Question 1: Why Did CMS Implement 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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