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Wiki Codes 99401 under medicare

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00056831

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HI, JUST BEGAN BILLING FOR NURSE PRACT/MIDWIFE. SHE HAS YOUNG MEDICARE PATIENT AND BILLED 99401 WITH THE FAMILY PLANNING V25.09. THIS IS MY FIRST VENTURE INTO FAMILY PRACTICE CODING. PLEASE ADVISE ME.:eek:
 
I would think that would work since all the nurse pract/midwife is doing counceling for "sexual practices" (family planning in this case) as defined in the guidelines for 99401.

Playing the devil's advocate.... If a claim gets kicked back with those codes, I would first assume it's because you're not supposed to use V25.09 as a primary Dx.
 
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