Can a local health department bill for completing a Record of Tuberculosis Screening report (DHHS-3405)?
No. Medicaid does not reimburse separately for completing a Record of Tuberculosis Screening report. • Please clarify the definitions of “new” and “established” related to Evaluation and Management (E/M) procedure codes. In this context, “new” means a patient who has not been seen in the agency for a billed visit for at least three years. This is identified by selecting the appropriate CPT code that specifies a new or established patient. Example: A family planning visit for a 19-year-old patient who meets this definition of new would be billed using 99385 (the new patient code for an individual of that age); an established patient of the same age is billed using 99395. Example: Ms. R, age 24, is seen at a family planning clinic following delivery. She receives her prenatal care from the health department. On the encounter screen a “1” is entered in the field for “patient type” to indicate that she is new to the family planning program. However, an established patient visit is billed t
