Author Topic: Medicare Physical Exam  (Read 1054 times)


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Medicare Physical Exam
« 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?



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Re: Medicare Physical Exam
« Reply #1 on: September 20, 2010, 01:54:32 PM »
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
Michelle Rimmer, CHI, CPMB
President-Professional Medical Billers Association
Owner-ABA Therapy Billing Services
Author, 'Medical Billing 101' and 'Coding Basics: Understanding Medical Collections