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   Medicare coding
 From: Tracy Baum
 To: Member Forum
 Posted: 01-16-2017 09:30
 Message: I have a fairly large Medicare population and am having issues with coding a 'well woman' exam. Since Medicare does not have preventative codes for this. Some references say us an E/M plus the G codes for pelvic/ CBE, and collection I'd Pap specimen. But when I tried this, the claim was sent back (by Athena - which we are in the process of dumping) saying the 99213 was not allowed. Ugh. What's the best way to get reimbursed for these visits?

I do promote the Medicare Annual Wellness Visits for my patients. Do you combine this with a physical?


Tracy Baum
Mountain Sage Family Clinic
Dubois, WY

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