Bill services where patient is not present

[KarenJacobsen2023]

I need to bill for a providers time where she spent 1/2 hour of discussion with a patient's power of attorney on medical and financial issues. Have you ever billed for services where patient was not present?

 

[H@wks F@n]

Consult?

This is a total suggestion, not a recommendation, but take a look at consult code 99242 (due to the 30 minutes).

 

[KarenJacobsen2023]

thank you so much for the suggestion, but I believe the patient needs to be present for these consult codes.

 

[rthames052006]

I need to bill for a providers time where she spent 1/2 hour of discussion with a patient's power of attorney on medical and financial issues. Have you ever billed for services where patient was not present?

I've come across this scenario a few times. What our office does is prior to this "consult" the party involved is told up front that this is strictly self pay? The visit is coded based on time as well.

We do not bill any insurance we bill the party who is coming in to discuss the medical issues/concerns etc....

Your office/facility may want to establish this thru compliance plan as well.

There used to be a code for billing w/o the patient present but if my memory serves me correctly most insurances did not pay for it anyway.