Medical Billing Forum

Coding => Coding => Topic started by: jcbilling on September 20, 2010, 10:52:01 AM

Title: Medicare Physical Exam
Post by: jcbilling on September 20, 2010, 10:52:01 AM
My understanding is that Medicare will start covering annual physicals in Jan 2011. Has anyone read what code would be used to report the exam? Are they designating a G code to the exam or just using the 99000 codes that commercial carriers already recognize?

Thanks,
Charity
Title: Re: Medicare Physical Exam
Post by: medauthor on September 20, 2010, 01:54:32 PM
Quote
CMS is proposing to develop separate Level II HCPCS codes for the first annual wellness visit, to be paid at the rate of a level 4 office visit for a new patient (similar to the IPPE), and for the subsequent annual wellness visits, to be paid at the rate of a level 4 office visit for an established patient.


The ruling is to be released on or about Nov 1, 2010