Medical Genetics and Genetic Counseling Services CPT® Code range 96040- 96040

The Current Procedural Terminology (CPT) code range for Medicine Services and Procedures 96040-96040 is a medical code set maintained by the American Medical Association.

Subscribe to Codify by AAPC and get the code details in a flash.

CPT® Code Range 96040- 96040
Medical Genetics and Genetic Counseling Services
On a CPT® code's hierarchy page, you get to see a medical code's neighbors, including the CPT® codes' official long descriptors. Seeing related codes helps coders choose the correct code, improving their accuracy rate.
Click on a blue code to see a sample of a CPT® code's details page.

November 14, 2022
The 2023 CPT errata and technical corrections released by the American Medical Association AMA go into effect Jan. 1 2023. Make sure to mark these upcoming changes in your CPT code book to stay on top... [ Read More ]
November 07, 2022
The conversion factor is down but certain public health emergency flexibilities will continue. The 2023 Medicare Physician Fee Schedule MPFS and Quality Payment Program final rule released Nov. 1 allo... [ Read More ]
November 04, 2022
Auditors across the country learn what it will take to protect provider reimbursement from payer recoupment. Today concluded AAPCs second annual boutique conference that caters to the medical auditing... [ Read More ]
November 01, 2022
Industry experts explain the intricacies of the 2021 EM guidelines. During the Evaluation and Management EM Panel general session at AAPC8217s HEALTHCON in March an expert panel made up of a physician... [ Read More ]
November 01, 2022
Your words will carry more weight when you approach doctors in a thoughtful respectful way. In the coding and auditing world the provider is in the drivers seat. Generally the provider documents the s... [ Read More ]
Hello, My practice NPs have recently started providing cancer genetic counseling, billed under the NP license. Is there any restriction to the use of Z71.83 code by NPs? I'm asking because I am awar... [ Read More ]
I researched and set up the billing process for the last oncology practice I worked where genetic counseling services were offered. What I recall is: [LIST] [*] We used E/M codes, not 96040 because ... [ Read More ]
The answer is in the definition of the code. 96040 - Medical genetics and genetic counseling services, each 30 minutes face-to-face with patient/family. "Each 30 minutes" means you bill in 30 minute... [ Read More ]
[QUOTE="DCarmelaMD, post: 377331, member: 303405"] [B]96040 how many time provider can bill[/B] kindly let me know if the counseling done 90 minutes can the provider billed 96040 cpt code 3 times ? [... [ Read More ]
96040 for genetic counseling requires that the time spent is 16-30 minutes to claim one unit, if a genetic counselor spends only 15 minutes with the patient in counseling is it within guidelines to th... [ Read More ]
I've been trying to find information on whether Blue Cross, UHC, Aetna, and Cigna accept any genetic counseling telemedicine services and what codes they would reimburse. The only thing I have found r... [ Read More ]
[b]Genetic counseling and Billing an E/M[/b] 1. Genetic counseling billed under CPT 96040 is non-covered by Medicare and most other insurances, yet we continue to charge and bill. Please validate ge... [ Read More ]
Can neurologist bill 96040 genetic counseling? (1) If ‘yes’ - what are the applicable codes and descriptions? (2) Are there conditions or restrictions?... [ Read More ]
[b]angelah[/b] We have been billing our 2 credentialed Genetic Counselors using code 96040, but many insurance companies are denying these claims. Should we be adding the the type of genetic testing ... [ Read More ]
Hi, I am looking at how to charge for Genetic counseling. I know the code 96040/S0265 they are pretty straight forward. But in Iowa genetic counselors are not recognized to bill independently so ... [ Read More ]