tci E/M Coding Alert - 2017 Issue 9

Reader Question: Follow This Advice for ABNs

Question: A 32-year-old established patient visited our practice for an ob-gyn physical that included a pelvic exam. She had her last physical just over a year ago, and the notes indicate that she is low risk. Someone in the practice mentioned we may need to file an ABN for this claim. Can you explain what this means? California Subscriber Answer: Occasionally, a patient will present to the practice for an evaluation and management (E/M) service that Medicare might not pay for completely, if at all. If you are unsure about whether Medicare will cover a patient's E/M service, you...

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