Wiki e/m coding for end of life care

misstigris

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Needing some help in coding this scenario...

Patient comes in to see physician to discuss end of life planning. Patient is healthy, but wants to plan ahead and has discussion with physician about filling out advance directive and POLST forms.

What CPT and ICD-9 codes would you use?

I have tried billing 99213 w/ V65.49 (but was denied)

--I ran across this code
HCPCS code S0257- but not sure when to use.

It has been suggested to use V66.7, but this code does not seem appropriate as pt is not sick..

Any ideas would be greatly appreciated.
Thanks
 
I would probably go with 99429 the unlisted preventive medicine service. For a dx I would use V65.8.

Laura, CPC, CEMC
 
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