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Coding Medicare Breast exam

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melissa_2004:
I am reviewing encounters provided for billing and came across one that is a Medicare patient and the note is that a breast exam only noting 99397 was done.  What is the correct ICD for a breast only exam? V72.31 is provided however this is for a breast and pelvic exam.  The pelvic was not done. 

oneround:
  V76.10 if no  pelvic
  V72.31 breast,pelvic w/wo smear

  Based upon information given.  What is your coder coding it as? 

melissa_2004:
It was coded as v72.31 but the notes specifically state no pelvic, breast exam only. 

oneround:
may want to confir with your peer then as she/he may be seeing something in the pt chart to support the breast/pelvic ICD.  But based upon the info given I would code it as the breast exam only in no pelvic or pap was performed.

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