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Wiki Preconceptual OB consultations

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yt

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I need some advice on how to code preconceptual consultations for conditions the patient has (congenital heart disease, lupus, etc). I am using V26.49 (Other procreative management, counseling and advice) as primary and the conditions as secondary. We have a local carrier that is denying these claims. Has anybody had similar experiences with this situation and know a better way to code these?
 
What CPT code are you billing? I would bill the counseling codes (I don't have my CPT book with me right now and I don't remember the codes) not an E/M (99201-99215). I agree with the ICD-9 coding.
 
Who are you coding for?

Also, are you coding for the OB/GYN or are you coding for the patient's primary physician? Has another physician requested a consultation from you regarding the patient's condition?

F Tessa Bartels, CPC, CPC-E/M
 
I am coding for OB-GYN. These are physician requested consultations.
 
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