tci E/M Coding Alert - 2016 Issue 7

You Be the Coder: Coding Late-Occurring and Private Payer IPPEs

Question: I know how to code initial preventive physical exams (IPPEs) for most of our Medicare patients. I am wondering how to report IPPEs for patients who have been with Medicare more than a year? What about coding IPPEs for private payers? Minnesota Subscriber Answer: Coding “Welcome to Medicare” IPPEs is pretty basic … except when it isn’t. Follow these tips for spot-on IPPEs for all your patients. Medicare patients: If the IPPE occurs within the first year of the patient’s Medicare enrollment, report G0402 (Initial preventive physical examination; face-to-face visit, services limited to new beneficiary...

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