• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

FMLA Paperwork

dballard2004

True Blue
Messages
1,168
Location
Overland Park, KS
Best answers
0
If the patient comes into the office to have FMLA paperwork filled out, you would use CPT code(s) 99455 or 99456 with the ICD-9-CM code of V68.09, correct? What if the forms are completed the next day after the patient is seen? Would you use the same codes? Thanks.
 
Messages
4,466
Location
Milwaukee WI
Best answers
0
Was the patient actually examined?

I couldn't tell from your original description ... was the patient actually examined and history taken ... were all the bullet points listed in CPT for 99455 met?

If so, I would bill the 99455 on the date the patient was seen in the office and would not bill separately for completing the paperwork.

Think of it this way ... patient comes in for consultation on an issue. Patient is examined,tests are performed, but doctor doesn't dictate the report back to requesting MD until the next day. You wouldn't charge separately for doing the report; it's part and parcel of the E/M service.

And the descriptiion of 99455 in CPT even has as one of the necessary bullet points:
* Completiong of necessary documentation/certificates and report.

F Tessa Bartels, CPC-E/M
 
Top