tci Part B Insider - 2011 Issue 12

Reader Questions: Driver's Physicals Probably Won't Qualify As E/M Visits

Question: What is the best way to code and bill for driver's physicals? I'm thinking the preventive E/M codes are best, but those don't require the key components of problem visits. Could we charge the same fee for the driver's physical as a routine preventative exam?Answer: Most insurance companies do not cover driver's physicals, even if you report a preventive E/M code (99381-99387 for a new patient or 99391-99397 for an established patient), because they do not perceive driver's physicals to be as "comprehensive" as a preventive E/M service is understood to be. Physician offices often create their...

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