Wiki client billing

[SSweetland]

I am looking for a someone who is familiar with Client billing that can answer a coding question?
Does the companies have to utilize CPT coding guidelines or do they have their own set of coding rules. I am reviewing notes and seeing 99214 used for preventative visits. thank you in advance
Sheila Sweetland, CPC

 

[TriciaGahagan]

Client Billing

Can you elaborate on the type of client you're referring to? Is it for a Workers' Comp carrier or a Commercial carrier? For example, work comp guidelines vary per state.

 

[vrichmond]

Most payer contracts will include a section on coding expectations. Every one that I work with is "as per CPT-4 and current ICD."