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Lactation Billing for the Mom

Z

zfoster

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Vienna, VA
Does any one bill for Lactation for the mom seen at the office with the provider? If so what codes are you billing for reimbursement and is the mom being seen by a physician or a lactation specialist? any information is helpful.
 
Z Foster, 🍼

You can have billing of CPT 99241-99425 consult care as outpt. in office. Ensure document properly of date when treatment starts, doc name referred on claim, and proper dx codes. CPT 96150,or 96040 , 99502 home visit if newborn still 97530 97535 work breast pump patient's mother caretaker education as a QHP Lactation Consultant. Also can do CPT 99211(can be used for QHP too). Ensure the Lac consult give good notations /describe problem Mom and baby having and assign dx code. I would have the referring doc be the peds doctor in the office since recommending this help and list their name on claim. Dx codes can range from 091.23 , N61, I80 or with dx Z39.1 per notations. Also if baby having eating difficulties add dx code of R63.,3 or F50, or P92 if newborn status
Also you can do telehealth call on phone or VVC (use modifier 95 video) with the 98960-98968 phone calls but ensure put minutes in record, verify correct pt, and permission from Mom to call to discuss lactation problems as check up later.
Well I hope helped you.🚼
Lady T
 
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