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ICD-9 code to use with welcome to medicare visits

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Sally Karr:
Is V70.8 to be used with G0402 & G0403?   Also...is there a hcpcs code for a welcome to medicare pelvic exam? 

Thanks!!

Michele:
The HCPC's you may be looking for is G0101 - Pelvic exam and clinical breast check.  The ICD9 for that would be V76.2 - Special screening for malignant neoplasms; cervix.

As far as the G0402 & G0403 I would think the V70.0 might be more appropriate, unless there is a reason you are using the V70.8 that you didn't mention.

Michele

Sally Karr:
Thanks sooo much Michele.  I meant V70.0 but typed V70.8 in error.  Also thanks for the code to use for pelvic exam and clinical breast check.  This helps a lot with some  older bills not submitted by the person doing the coding/billing before I started. 

Sally Karr:
It's funny how questions come up after getting an answer to one.  Now here's another about these.  If my practitioner does two/three of these preventive visits on a patient in one day, is a modifier needed.  I don't think so but just want to be safe. 

I also want to be sure about needing a 25 modifier if she does an e&m visit with identifiable diagnoses along with any of these preventive visits?  I believe a 25 is needed on the E&M visit.  Am I correct?

THANKS!!

Michele:
On the second part of your question, yes, the 25 modifier would be used on the E&M visit if done on the same day as the preventative.

On the first part, isn't there one code that would encompass the two/three codes that you are referring to?  If not, then I don't think a modifier would be necessary.

Michele

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