lillianivy
Networker
Our facility is going to start having our Nurse Practitioners do Genetic Counseling. I need help on how to code and bill for this service.
I know there are 2 time based codes to use:
96040
S0265
I am not certain which one to use. I know Medicare does not accept S0265. Does Medicare pay for this service at all? And what about other insurance companies?
I was informed that Medicare/Medicaid do not pay for this service, so my question is can we bill it as a time based OV(99211-99215) instead, across the board for all insurances? Would this be appropriate?
I know to use the V26.33 as the DX.
Is a physical required for Genetic Counseling?
Any advice or websites or articles that can help would be greatly appreciated.
Thank you,
Lydia
I know there are 2 time based codes to use:
96040
S0265
I am not certain which one to use. I know Medicare does not accept S0265. Does Medicare pay for this service at all? And what about other insurance companies?
I was informed that Medicare/Medicaid do not pay for this service, so my question is can we bill it as a time based OV(99211-99215) instead, across the board for all insurances? Would this be appropriate?
I know to use the V26.33 as the DX.
Is a physical required for Genetic Counseling?
Any advice or websites or articles that can help would be greatly appreciated.
Thank you,
Lydia