tci E/M Coding Alert - 2015 Issue 6

Reader Questions: Think 99395-99397 for a Periodic E/M

Question: A patient presents for her yearly examination, and the ob-gyn decides to fit her with a pessary and insert it during the same visit. Do I still need to report an E/M code with 57160? North Dakota Subscriber Answer: Yes, you will report a code from the 99395-99397, (Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, ...) range to represent the preventive service. Then, report 57160 (Fitting and insertion of pessary or other intravaginal support device) for...

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