AAPC - Back to school
Results 1 to 6 of 6

Thread: Counseling Parent w/out pt present

  1. #1
    Join Date
    Apr 2007

    Default Counseling Parent w/out pt present

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Boston, MA


    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


    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. #4


    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
    Join Date
    Apr 2007


    Thank you for the information.

  6. #6


    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.

Similar Threads

  1. Counseling Parent of Drowning patient
    By lisampoisson@aol.com in forum Behavioral Health
    Replies: 1
    Last Post: 07-27-2015, 11:03 AM
  2. Visit with Parent- Patient not Present
    By BrendaC1957 in forum Family Practice
    Replies: 2
    Last Post: 08-06-2013, 12:15 PM
  3. family counseling without pt present
    By tlwhlw in forum E/M
    Replies: 1
    Last Post: 10-05-2010, 10:57 AM
  4. Doctor/Parent encounter without child present ?
    By johnbouis in forum Pediatrics
    Replies: 11
    Last Post: 07-23-2008, 08:54 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.