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October 28, 2025

Does 99459 Require a Chaperone?

Question:  The E/M session of the CPT® symposium this year was in question-and-answer format. One of the questions was, “Is a chaperone required to use add-on code 99459?” Answer: Their answer: no. Some consultants stated that in order to use code 99459 with an office visit, consult, or certain preventive medicine services, a chaperone was […]

Billing for Pap Smear

Billing for pap smears in a physician practice can be confusing for clinicians and coders alike. Pap smears can be screening services or diagnostic services There is a HCPCS code for obtaining a screening pap smear, Q0091 Performing a pelvic exam is either part of a preventive medicine service or problem oriented visit A new […]

Coding Guide – Preventive Medicine Services

Coding for preventive medicine services should be easy, but it’s not.  It’s complicated by frequency issues, Medicare rules and the always difficult issue of when to bill a problem oriented E/M service on the same day. This guide includes coding and billing guidelines for preventive medicine services.

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.

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