E/M
This Est patient comes in due to a cough that she has had 2 days ago. The cough is gone now and she has no other symptoms. She states "Yeah I figure I am okay but I wanted to come in just to verify with my doctor". :) This visit was a straightforward visit. What E/M should be coded?
What is 99212
I'm the screening code for an abnormal PAP.
What is Z01.411
The screening code for a Normal yearly PAP
Z01.419
T or F: G2211 can only be billed with a modifier 25 attached.
F: G2211 is not billable if modifier 25 is supported for encounter. (ex: procedure and office visit E/M coded together)
I'm the modifier used for a bilateral procedure
what is modifier 50
You see an est. patient with 1 stable chronic condition, no labs are ordered or data reviewed, and you refill their prescription medication. What E/M should be coded?
What is 99213?
I'm the screening code for a prostate cancer Screening.
What is Z12.5
The screening code for cervical cancer screening.
What is Z12.4
T or F: An AWV addresses all previous/current conditions, providers, immunizations, etc.. This is a PERFECT time to add G2211 as an add on code!
F: This is not the perfect time to use g2211 as an add on code. You can not add when billing for an AWV or TOC
I'm the modifier used only on an E/M code when another separately billable event has occurred in the same visit.
What is modifier 25
A new patient comes in with symptoms of a runny nose, cough, sore throat and achy body. You decide to get labs for Strep and Flu w/ Covid detection. All comes back negative - you advise patient to go home, take OTC Tylenol, use OTC Flonase and gargle with salt water every other hour. What E/M should be coded?
What is 99203?
I'm the screening code for a mammogram.
What is Z12.31
T or F: A normal yearly PAP/ Well Woman exam should be coded with Z01.419 as primary dx and Z12.4 as secondary dx.
F: Z12.4 is an exclude1 code for Z01.41X. This means it cannot be coded along with Z01.41X. Z12.4 is not a part of a routine Gyn exam
T or F: OOOPS! I forgot to add G2211 to my last patient encounter from yesterday. I can go in and add it this morning. Problem solved!
F: G2211 should be added at the time of signing the encounter. if the encounter is already signed on a previous day and you go back and add it , Medicare will reject it
Patient comes back into the office within their global period to get a procedure repeated by the same provider. What Modifier should be utilized?
What is modifier 76?
Your patient returns to the office for their followup and has 2 or more chronic conditions. One chronic condition is not at goal. You decide to do some RX management and run additional labs to see if anything has been missed. What E/M should be coded?
What is 99214
I'm the screening code for Colon Cancer.
What is Z12.11
How should you code a repeat PAP due to an inadequate sample?
A.) NC
B.)99212 w/ dx R87.615
C.)9939X w/ dx R87.615
What is B.
*Pt is only here for the PAP retest, no medication being prescribed, and no conditions or symptoms being addressed.
T or F: G2211 is not added if I am only treating a simple Virus.
True
I'm the modifier used for an unplanned discontinued procedure due to risk to the patient
What is Modifier 53