Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > E/M
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 07-11-2012, 07:35 AM
veloso veloso is offline
Guru
 
Join Date: Apr 2007
Posts: 151
veloso is on a distinguished road
Default Preventive Counseling=99401-99404

Hi All,
I need clarifications on when? how? and what are the documentations needed in order to bill these codes?
1.) When?
Is it true that we could add these codes with Preventive Visits- 99381-99397?

2.) How?
How many times that we could use these codes?

3.) What? Documentations needed?
a.) Does the provider needs to document that; " I spent mins? counseling on how to .....etc.
or
b.) Is it okay to bill for 99401 if the provider DON'T document the TIME spent counseling on...etc.

Pls. HELP and THANKS
Reply With Quote
  #2  
Old 07-16-2012, 10:23 PM
LGillstrom's Avatar
LGillstrom LGillstrom is offline
Contributor
 
Join Date: Apr 2007
Location: Minneapolis, MN
Posts: 17
LGillstrom is on a distinguished road
Default

1) No, you cannot bill these with Preventative Visits (99381-99397) as they are items that are typically addressed in these type visits and therefore it would be considered "double dipping".

2) Check your payer guidelines.

3) They are time based codes, so the provider has to document the time spent, it must be face to face time and if they don't document time, it cannot be billed. The provider must also document what was discussed, and their recommendations. These codes are also not reported if they are in relation to an existing illness or injury. (ie: pt seen for knee arthritis, MD counsels patient on stair safety, etc. in relation to the arthritis, you can't bill the 99401-99404)

Hope this helps!
__________________
Lisa S. Gillstrom, CPC, HUC
National Compliance Manager
KForceHealthcare
813-552-1626
lgillstrom@kforce.com
www.kforce.com
Reply With Quote
  #3  
Old 07-18-2012, 06:59 AM
veloso veloso is offline
Guru
 
Join Date: Apr 2007
Posts: 151
veloso is on a distinguished road
Default

Hi Lisa,
Thank you so much for this clarification...
So it means that if the patient has established illnesses such as DM, HTN, AIDS..etc...and the provider provides COUNSELING for diet, exercise, etc.. using the V CODES DIAGNOSIS STILL IT IS NOT PERMISSIBLE TO ADD THE PREVENTIVE COUNSELING CODES?

Thanks again.
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 06:50 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC