Charging for breast feeding consults

cyates

Contributor
Messages
12
Location
Norman, OK
Best answers
0
We have an RN/IBCLC in our pediatric office who does breast feeding consults. We are currently charging a 99211 under the physician for these visits. Any advice on a way to charge for better reimbursement? Thanks!
 
Messages
369
Best answers
0
Would recommend you check with the payers that your practice contracts with or insures many of your patients. Some payers use S9443 while others use codes such as 98960. The required codes may be included in the payer's policy on preventive services under breastfeeding services. There can also be issues with billing under the mother (as patient) rather than the infant since the breastfeeding benefits are usually under the mother's health plan. Medicaid plans vary on this.

Unfortunately, I do not know of a more straightforward answer,
Cindy
 
Top