Medical Billing Forum
Coding => Coding => : melissa_2004 October 31, 2010, 08:19:21 PM
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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.
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V76.10 if no pelvic
V72.31 breast,pelvic w/wo smear
Based upon information given. What is your coder coding it as?
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It was coded as v72.31 but the notes specifically state no pelvic, breast exam only.
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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.