annual gyn exams and annual pap smears …hfhs-formslibrary.org/forms/nco-60-2282-0908 annual...
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ANNUAL GYN EXAMS AND ANNUAL PAP SMEARS BLUE CROSS / BLUE SHIELD MEDICARE & HAP MEDICAID & COMMERCIAL
Billing Code Diagnosis Code Billing Code Diagnosis Code Billing Code Diagnosis Code Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Screen GYN Exam 010053 Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397
V72.31 GYN Annual Exam
No separate charges for GYN Exam or PAP Smear
Complete Head to Toe Annual Exam and Annual PAP Smear
Complete Head to Toe Annual Exam and Annual PAP Smear
Complete Head to Toe Annual Exam and Annual PAP Smear
Preventive Medicine Age Appropriate CPT E/M Code New 99384– 99387 or Established 99394 – 99397
V70.0 Routine Exam
Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99395 – 99397
V70.0 Routine Exam
Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397
V70.0 Routine Exam
Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
No separate charges for GYN Exam or PAP Smear
Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem
Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem
Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem
Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 OR CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215 Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215
Appropriate diagnosis to specific chronic illness or problem
Appropriate diagnosis to specific chronic illness or problem
CPT E/M Office Visit Code New 99202 – 99205+ SE OR Established 99212 – 99215 + SE
Appropriate diagnosis to specific chronic illness or problem
No separate charges for GYN Exam or PAP Smear
ANNUAL GYN EXAMS AND ANNUAL PAP SMEARS BLUE CROSS / BLUE SHIELD MEDICARE & HAP MEDICAID & COMMERCIAL
Billing Code Diagnosis Code Billing Code Diagnosis Code Billing Code Diagnosis Code Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Screen GYN Exam 010053 Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397
V72.31 GYN Annual Exam
No separate charges for GYN Exam or PAP Smear
Complete Head to Toe Annual Exam and Annual PAP Smear
Complete Head to Toe Annual Exam and Annual PAP Smear
Complete Head to Toe Annual Exam and Annual PAP Smear
Preventive Medicine Age Appropriate CPT E/M Code New 99384– 99387 or Established 99394 – 99397
V70.0 Routine Exam
Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99395 – 99397
V70.0 Routine Exam
Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397
V70.0 Routine Exam
Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
No separate charges for GYN Exam or PAP Smear
Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem
Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem
Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem
Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 OR CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215 Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215
Appropriate diagnosis to specific chronic illness or problem
Appropriate diagnosis to specific chronic illness or problem
CPT E/M Office Visit Code New 99202 – 99205+ SE OR Established 99212 – 99215 + SE
Appropriate diagnosis to specific chronic illness or problem
No separate charges for GYN Exam or PAP Smear
ANNUAL GYN EXAMS AND ANNUAL PAP SMEARS BLUE CROSS / BLUE SHIELD MEDICARE & HAP MEDICAID & COMMERCIAL
Billing Code Diagnosis Code Billing Code Diagnosis Code Billing Code Diagnosis Code Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Screen GYN Exam 010053 Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397
V72.31 GYN Annual Exam
No separate charges for GYN Exam or PAP Smear
Complete Head to Toe Annual Exam and Annual PAP Smear
Complete Head to Toe Annual Exam and Annual PAP Smear
Complete Head to Toe Annual Exam and Annual PAP Smear
Preventive Medicine Age Appropriate CPT E/M Code New 99384– 99387 or Established 99394 – 99397
V70.0 Routine Exam
Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99395 – 99397
V70.0 Routine Exam
Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397
V70.0 Routine Exam
Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
No separate charges for GYN Exam or PAP Smear
Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem
Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem
Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem
Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 OR CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215 Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215
Appropriate diagnosis to specific chronic illness or problem
Appropriate diagnosis to specific chronic illness or problem
CPT E/M Office Visit Code New 99202 – 99205+ SE OR Established 99212 – 99215 + SE
Appropriate diagnosis to specific chronic illness or problem
No separate charges for GYN Exam or PAP Smear
ANNUAL GYN EXAMS AND ANNUAL PAP SMEARS BLUE CROSS / BLUE SHIELD MEDICARE & HAP MEDICAID & COMMERCIAL
Billing Code Diagnosis Code Billing Code Diagnosis Code Billing Code Diagnosis Code Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Annual GYN Exam and PAP Smear ONLY Screen GYN Exam 010053 Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397
V72.31 GYN Annual Exam
No separate charges for GYN Exam or PAP Smear
Complete Head to Toe Annual Exam and Annual PAP Smear
Complete Head to Toe Annual Exam and Annual PAP Smear
Complete Head to Toe Annual Exam and Annual PAP Smear
Preventive Medicine Age Appropriate CPT E/M Code New 99384– 99387 or Established 99394 – 99397
V70.0 Routine Exam
Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99395 – 99397
V70.0 Routine Exam
Preventive Medicine Age Appropriate CPT E/M Code New 99384 – 99387 or Established 99394 – 99397
V70.0 Routine Exam
Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
No separate charges for GYN Exam or PAP Smear
Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem
Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem
Annual GYN Exam , Annual PAP Smear, PLUS Mgmt Chronic Illness or Problem
Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091 OR CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215 Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
Screen GYN Exam 010053-XX Screen Pap Obtain PQ0091
V76.2 Screen Low Risk V15.89 Screen High Risk V76.47 Vaginal CA Screen
CPT E/M Office Visit Code New 99202 – 99205 OR Established 99212 – 99215
Appropriate diagnosis to specific chronic illness or problem
Appropriate diagnosis to specific chronic illness or problem
CPT E/M Office Visit Code New 99202 – 99205+ SE OR Established 99212 – 99215 + SE
Appropriate diagnosis to specific chronic illness or problem
No separate charges for GYN Exam or PAP Smear
SAMPLE
E/M CODING CHART NEW PATIENT ESTABLISHED PATIENT
Has not been seen by HFH OB/GYN in past 3 years Seen by HFH OB/GYN in past 3 years Must meet all 3 components Must meet 2 of 3 components 99201 – 10 minutes face to face Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Problem Focused Exam – 1 – 5 areas Straightforward Decision Making
99211 – 5 minutes face to face Physicians – do not use this code Does not require a physician presence Minimal presenting problem
99202 – 20 minutes face to face Expanded Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Expanded Problem Focused Exam – 6 – 11 areas Straightforward Decision Making
99212 – 10 minutes face to face Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Problem Focused Exam – 1 – 5 areas Straightforward Decision Making
99203 – 30 minutes face to face Detailed History
HPI – Extended – 4 or more ROS – Extended – System + Additional PFSH – Pertinent – Directly Related
Detailed Exam - 12 or more areas Low Complexity Decision Making
99213– 15 minutes face to face Expanded Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Expanded Problem Focused Exam – 6 – 11 areas Low Complexity Decision Making
99204 – 45 minutes face to face Comprehensive History
HPI – Extended 4 or more ROS – Complete – All Systems PFSH – Complete – 2 or 3
Comprehensive Exam – All elements Moderate Complexity Decision Making
99214 – 25 minutes face to face Detailed History
HPI – Extended – 4 or more ROS – Extended – System + Additional PFSH – Pertinent – Directly Related
Detailed Exam - 12 or more areas Moderate Complexity Decision Making
99205 – 60 minutes face to face Comprehensive History
HPI - Extended – 4 or more ROS – Complete – All Systems PFSH – Complete 2 or 3
Comprehensive Exam – All elements High Complexity Decision Making
99215 – 40 minutes face to face Comprehensive History
HPI - Extended – 4 or more ROS – Complete – All Systems PFSH – Complete 2 or 3
Comprehensive Exam – All elements High Complexity Decision Making
E/M CODING CHART NEW PATIENT ESTABLISHED PATIENT
Has not been seen by HFH OB/GYN in past 3 years Seen by HFH OB/GYN in past 3 years Must meet all 3 components Must meet 2 of 3 components 99201 – 10 minutes face to face Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Problem Focused Exam – 1 – 5 areas Straightforward Decision Making
99211 – 5 minutes face to face Physicians – do not use this code Does not require a physician presence Minimal presenting problem
99202 – 20 minutes face to face Expanded Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Expanded Problem Focused Exam – 6 – 11 areas Straightforward Decision Making
99212 – 10 minutes face to face Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Problem Focused Exam – 1 – 5 areas Straightforward Decision Making
99203 – 30 minutes face to face Detailed History
HPI – Extended – 4 or more ROS – Extended – System + Additional PFSH – Pertinent – Directly Related
Detailed Exam - 12 or more areas Low Complexity Decision Making
99213– 15 minutes face to face Expanded Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Expanded Problem Focused Exam – 6 – 11 areas Low Complexity Decision Making
99204 – 45 minutes face to face Comprehensive History
HPI – Extended 4 or more ROS – Complete – All Systems PFSH – Complete – 2 or 3
Comprehensive Exam – All elements Moderate Complexity Decision Making
99214 – 25 minutes face to face Detailed History
HPI – Extended – 4 or more ROS – Extended – System + Additional PFSH – Pertinent – Directly Related
Detailed Exam - 12 or more areas Moderate Complexity Decision Making
99205 – 60 minutes face to face Comprehensive History
HPI - Extended – 4 or more ROS – Complete – All Systems PFSH – Complete 2 or 3
Comprehensive Exam – All elements High Complexity Decision Making
99215 – 40 minutes face to face Comprehensive History
HPI - Extended – 4 or more ROS – Complete – All Systems PFSH – Complete 2 or 3
Comprehensive Exam – All elements High Complexity Decision Making
E/M CODING CHART NEW PATIENT ESTABLISHED PATIENT
Has not been seen by HFH OB/GYN in past 3 years Seen by HFH OB/GYN in past 3 years Must meet all 3 components Must meet 2 of 3 components 99201 – 10 minutes face to face Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Problem Focused Exam – 1 – 5 areas Straightforward Decision Making
99211 – 5 minutes face to face Physicians – do not use this code Does not require a physician presence Minimal presenting problem
99202 – 20 minutes face to face Expanded Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Expanded Problem Focused Exam – 6 – 11 areas Straightforward Decision Making
99212 – 10 minutes face to face Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Problem Focused Exam – 1 – 5 areas Straightforward Decision Making
99203 – 30 minutes face to face Detailed History
HPI – Extended – 4 or more ROS – Extended – System + Additional PFSH – Pertinent – Directly Related
Detailed Exam - 12 or more areas Low Complexity Decision Making
99213– 15 minutes face to face Expanded Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Expanded Problem Focused Exam – 6 – 11 areas Low Complexity Decision Making
99204 – 45 minutes face to face Comprehensive History
HPI – Extended 4 or more ROS – Complete – All Systems PFSH – Complete – 2 or 3
Comprehensive Exam – All elements Moderate Complexity Decision Making
99214 – 25 minutes face to face Detailed History
HPI – Extended – 4 or more ROS – Extended – System + Additional PFSH – Pertinent – Directly Related
Detailed Exam - 12 or more areas Moderate Complexity Decision Making
99205 – 60 minutes face to face Comprehensive History
HPI - Extended – 4 or more ROS – Complete – All Systems PFSH – Complete 2 or 3
Comprehensive Exam – All elements High Complexity Decision Making
99215 – 40 minutes face to face Comprehensive History
HPI - Extended – 4 or more ROS – Complete – All Systems PFSH – Complete 2 or 3
Comprehensive Exam – All elements High Complexity Decision Making
E/M CODING CHART NEW PATIENT ESTABLISHED PATIENT
Has not been seen by HFH OB/GYN in past 3 years Seen by HFH OB/GYN in past 3 years Must meet all 3 components Must meet 2 of 3 components 99201 – 10 minutes face to face Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Problem Focused Exam – 1 – 5 areas Straightforward Decision Making
99211 – 5 minutes face to face Physicians – do not use this code Does not require a physician presence Minimal presenting problem
99202 – 20 minutes face to face Expanded Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Expanded Problem Focused Exam – 6 – 11 areas Straightforward Decision Making
99212 – 10 minutes face to face Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Problem Focused Exam – 1 – 5 areas Straightforward Decision Making
99203 – 30 minutes face to face Detailed History
HPI – Extended – 4 or more ROS – Extended – System + Additional PFSH – Pertinent – Directly Related
Detailed Exam - 12 or more areas Low Complexity Decision Making
99213– 15 minutes face to face Expanded Problem Focused History
HPI – Brief 1 - 3 ROS – Problem Pertinent – 1 system PFSH – N/A
Expanded Problem Focused Exam – 6 – 11 areas Low Complexity Decision Making
99204 – 45 minutes face to face Comprehensive History
HPI – Extended 4 or more ROS – Complete – All Systems PFSH – Complete – 2 or 3
Comprehensive Exam – All elements Moderate Complexity Decision Making
99214 – 25 minutes face to face Detailed History
HPI – Extended – 4 or more ROS – Extended – System + Additional PFSH – Pertinent – Directly Related
Detailed Exam - 12 or more areas Moderate Complexity Decision Making
99205 – 60 minutes face to face Comprehensive History
HPI - Extended – 4 or more ROS – Complete – All Systems PFSH – Complete 2 or 3
Comprehensive Exam – All elements High Complexity Decision Making
99215 – 40 minutes face to face Comprehensive History
HPI - Extended – 4 or more ROS – Complete – All Systems PFSH – Complete 2 or 3
Comprehensive Exam – All elements High Complexity Decision Making
SAMPLE