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Bundling of Q0091, 76830, and 36415
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Re: Bundling of Q0091, 76830, and 36415
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Doo
Re: Bundling of Q0091, 76830, and 36415
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May 1 06 9:28 PM
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My Recent Posts
Okay, this is not my area, so you can take what I have to say about this with a big ol' grain of salt.
For Q0091: I understood the obtaining of a pap smear to be included in the preventive service of a well woman exam. Medicare has a separate code for the service BECAUSE they don't cover well woman exams, but they will cover the obtaining of the pap (as long as it is within their specs) during the well woman exam.
All of the references I have been able to find support this, and I have been able to find nothing to the contrary.
Regarding the ultrasounds: Do your diagnoses support the medical necessity of doing a transvag u/s AND a complete non-obstet u/s? Are there two separate reports? Just some things to think about.
Regarding the blood draws: Have you checked your contract and provider handbook (which is often incorporated into the contract) to see if they provide separate reimbursement for this? It is OFTEN not a covered service. You can always send your patients directly to a lab for blood draws unless you have a lab inhouse.
Sharon
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Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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