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Coding for counseling

S

skrispi

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Peralta, NM
Which code would you use for a 2 hour session by a physician (not a psychiatrist) counseling a patient who has become opioid dependent due to a medical condition?

History of illness and plan for intervention and rehab discussed.


Thanks!
 
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Look at 99408-99409. Read the heading prior "Counseling Risk Factor Reduction and Behavior Intervention". I don't have any experience with 99408-99409 but it sounds like an E/M can also be coded (with mod -25) if significant and separately identifiable. Just my thoughts...
 
I thought about those codes, but they say "structured screening (AUDIT,DAST)". Since neither of those tests were done, nor any others that I could tell, I discarded them as possible answers. Having said that, I'm not an expert on this issue (substance abuse) either. Maybe someone who is will post here soon...
 
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