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Bmi >40

  1. #1
    Marion, OH
    Question Bmi >40
    Medical Coding Books
    Is anyone billing extra if a patient's BMI is over 40? Are you using a modifier? And finally are you being reimbursed higher? Thank you for any input.

  2. #2
    Kansas City, MO
    Are you talking about billing extra for surgical procedures and deliveries?

    If so, you can try, but unless the documentation clearly reflects all of the extra work, difficulty and any complications that were caused due to the BMI you won't be paid. Weight/BMI alone are not a basis for additional reimbursement.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013

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