In office family consultation patient not present


Winston Salem, NC
Best answers
I have a medicare patient with altered mental status, family came in to discuss patients care without patient present, provider spent 30 minuets with family what cpt code would you use
Since you mention this is a Medicare member the consultation codes 9924X can't be billed. The only other codes in my opinion that seem to fit the criteria you gave are the E&M code 9921X. Now based upon the time you offered as face to face time with the family 99215 would seem to be appropriate. However the other factors that come into play with an E&M code would need to be present in the documentation. Now you never indicated whether this was an interdisciplinary team meeting. In that case the CPT code would be different again.