Wiki medical team conference code 99366

[dbartlett]

Hi
My provider (MD) met with family members and two other hospital employees (ethics committee members) for an ethics consult on an inpatient. The reason for the conference was that the patient is not expected to improve, doctor is recommending palliative care and patient refuses...wants everything possible done.

the other two committee members are an RN and a clergy member, both of whom are seeing the patient in the hospital

does this qualify as a medical team conference with direct contact with patient and/or family member?
CPT says the team must be certified health care professionals
If not a team conference, then what E/M code should be used?
Thanks
Diane Bartlett, CPC

 

[LLovett]

Based on CPT this would not qualify for the medical team conference.

All of the participants of the conference have to provide direct care to the patient, also if either the patient or family is present CPT states to use E/M service codes.

Laura, CPC

 

[FTessaBartels]

99231-99233

You can use the subsequent hospital visit code, based on total time spent with more than 50% in counseling/coordination of care.

Your documentation must meet the counseling/coordination of care guidelines.

15 minutes total time 99231
25 minutes total time 99232
35 minutes total time 99233

F Tessa Bartels, CPC, CEMC