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Counseling Parent w/out pt present

  1. #1
    Default Counseling Parent w/out pt present
    Medical Coding Books
    One of my providers received a telephone call from a patients mother who had some concerns with daycare issues. The provider brought the mother into the office and counseled and discussed these "issues" - wondering if this counseling w/out pt present billable?

    Just want to confirm what I think as not being billable.

    Thanks for your help.

  2. #2
    Default
    Per CPT 2009, page 1: "Counseling is a discussion with a patient and/or family..."
    The "or" indicates that the counseling could be done with the family, in your case the mother, however I wonder if this visit was medically necessary if it was for day-care issues.

  3. #3
    Default
    Yes it's billable. Code the appropriate CPT based on time spent counseling. Use the appropriate ICD-9 for the diagnosis / chief complaint... we usually end up doing this for parents who want to discuss behavioral problems.
    Barbara Haskins CPC

  4. Default
    I agree, it IS billable based on time counseling. Make sure to document total time and total time in counseling and topics discussed.

  5. #5
    Default
    Thank you for the information.


  6. #6
    Default
    how funny! I just posted almost the same question! I agree, I thought the guidelines specifying "and/or family members" would mean we can bill for a visit with a parent or family member. I just wanted to see if others were in agreement.

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