Parental Counseling

feliciab

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Our pediatrician counseled with a patient's mother about some behavioral problems that a patient was having, but the patient did not attend the appointment. Therefore I am wanting to know if I can even bill for this service. Since there was no face-to-face encounter with the patient at the time of counseling. If someone can advise me. Please! Thanks for your help in advance.
 

missy874

Guru
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Albany
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Pediatricians are the lucky few that can do this. Yes they can bill on the child's account if the meeting was with parents. This has to be done with a counseling time statement though, so make sure your doctor documented correctly.

"I spent XX time face-to-face with Chase's mom all of which was spent counseling and/or coordinating care discussing behavior issues and med management."

In addition to a statement like this, your provider should also include details of what was discussed.
 

thelton

Networker
Local Chapter Officer
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91
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Farmington, AR
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This issue has come up in our pediatric practice. Can anyone point me in the right direction to find the guidelines that state pediatricians can bill an E/M service when only the parent is present? Thanks!!
 

KERRIEA

Networker
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Kansas City Chapter
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Look in the CPT codebook in the E/M section under the Time component for a description. It states face-to face time is defined as time spent face-to-face with the patient and/or family.

Hope this helps.
 
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