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Wiki E/M without patient being present

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colleen.flynn27@gmail.com

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Can E/M services be billed for a pediatric patient without the patient present? A parent came to the appointment without the patient and my provider believes that a 99212 can be billed. I'm having trouble finding definitive supporting documentation that either supports or does not support this. Any insight would be greatly appreciated!
 
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colleen.flynn27@gmail.com said:
Can E/M services be billed for a pediatric patient without the patient present? A parent came to the appointment without the patient and my provider believes that a 99212 can be billed. I'm having trouble finding definitive supporting documentation that either supports or does not support this. Any insight would be greatly appreciated!
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"face-to-face encounter with the patient and/or family/caregiver" is in the AMA E/M guidelines but I would check with the payer as some do not allow/cover it. Also, you can add Z71.0.
 
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