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Pediatric Coding Alert

Reader Questions:

Consider Reason Before Coding 99401

Published on Thu Apr 01, 2010

Question: Is reporting 99401 for perinatal counseling of a mom-to-be allowed? If so, what things do we need to keep in mind?Kentucky SubscriberAnswer: Yes, you should be able to submit 99401 (Preventive medicine counseling and/or risk factor reduction intervention[s] provided to an individual [separate procedure]; approximately 15 minutes) ��" in certain circumstances.Code 99401 represents a visit because the mom-to-be wants to meet with the pediatrician because of anticipated newborn concerns. No specific problem has arisen that needs discussion, but the parents might want to talk about breastfeeding versus bottle feeding, circumcision, or other issues. Although CPT does not include language supporting use of 99401 this way, the American Medical Association (AMA) has suggested 99401 as the appropriate code for a prenatal or perinatal visit.Consult choice: If another physician refers the mom to your practice for discussion of specific issues (such as a problem with the fetus or a problem with [...]
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