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donmar313@gmail.com:
Richard, you hit the nail on the head when you said I am not coding, but trying to ORGANIZE the codes on the CMS 1500 properly.
Let me clarify my question by explaining the reason for the visit: a 40 year old female pt was seen for her annual checkup and during the examination the physician finds a lump in her left breast.   The physician considers this a significant finding and performs a problem-focused E/M service.I was given the codes below and added modifier 25 to the office outpatient code to indicate that a significant separately identifiable evaluation and management service was provided by the same physician on the same day as the preventative medicine service.  Is the diagnosis and procedure code ORDER as well as the diagnosis pointer ASSIGNMENT for the CMS 1500 correct below?
Box#21 Diagnosis...                   Box#24DProcedures...              Box#24E Diagnosis Pointer
#1 V70.0                                   99396____________________1
#2 611.72                                 99212____________________2

RichardP:
Why did your patient make the initial appointment to see the doctor?  What was the complaint?  Whatever it was, that should be the priority coding.  Any else would be additional work.

Is it likely your patient came in because they had a lump in their breast, and decided to stay for a complete general physical?  Or could it be that they came in for the physical, and the doctor decided to devote additional attention to something he found or the patient brought to his attention.

PMRNC:
NO chart, no documentation, can't code.

RichardP:
Linda, they are not trying to code.  They have been given the codes and want to know how to set them up on the CMS 1500 Form properly.

I assumed that the question came either from a billing student or a brand new biller.  That is why I gave them questions to help think through the logic of the situation.  That is what we do when we prepare codes given to us by the doctor for billing.  Some doctors number the order of the diagnosis codes for us, and some don't.  But all expect us to know (or be able to figure out) the order in which the procedures should be presented in order to get paid the maximum legitimately due, without having access to the chart.  That is what we get paid to know, and I assume that is true for many other billers.

PMRNC:
The Medical chart does not just provide the necessary info to code but also the proper order as well

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