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Coding for Preventive Care, Smoking Cessation

By: Stantz, Renee | Medical Economics, November 2, 2009 | Article details

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Coding for Preventive Care, Smoking Cessation


Stantz, Renee, Medical Economics


Q: What am I doing wrong in coding below? Should I exclude 30SJ and 493.90 from 9920S and 99385?

99205 25 493.90, 786 2, 477.9, 30SJ

99385 25 493.90, 7862, 477.9, 30SJ

99407 25 305.1 - Insurance didn't pay ("Not separately reimbursable service")

94010 25 30S.1

94375 493.90 - Insurance didnt pay ("Not separately reimbursable service")

A: These are very good questions that include several areas of coding, which I will address separately.

Preventive and E/M coding (99205 and 99385): When billing a preventive and E/M code on the same date of service, the preventive code is billed as a new patient code (as you've done), and the E/M code …

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