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Annual GYN visits

How to bill for an annual gyn visit.

Can you?


Yes. It requires the following components:


ANNUAL VISIT

Age and gender appropriate comprehensive history

  • Includes discussion about status of previously diagsnosted stable conditions


Age and gender appropriate comprehensive physical exam (IF NECESSARY)

  • Gyn exam, breast exam, pap smear

  • Pelvic exam not required


Counseling/anticipatory guidance/risk factor reduction interventions

  • Discussions about issues related to the patients age or lifestyle


Ordering of appropriate lab or diagnostic procedures and immunizatinos.




ICD-10 associated diagnosis :

Z01.411, Encounter for gynecological examination (general) (routine) with abnormal findings

Z01.419, Encounter for gynecological examination (general) (routine) without abnormal findings


>>> CAUTION: DO NOT USE Z100.x <<<

Z00.00, Encounter for general adult medical exam without abnormal findings Z00.01, Encounter for general adult medical exam with abnormal findings


These are primary care ICD-10 codes and not for Ob/Gyn exams

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