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Medicare Physical Exam

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jcbilling:
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

medauthor:

--- 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.


--- End quote ---

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

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