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Thread: billing for a pre-natal visit with pediatrician

  1. #1
    Join Date
    Apr 2007

    Default billing for a pre-natal visit with pediatrician

    AAPC: Back to School
    Hi Folks,
    We are having a discussion here at the office regarding pre-natal visits. Our physicians meet with mom, take a medical history and counsel regarding the care that will be given after the baby is born. They also usually do a bp check. What is your opinion: is this a low level consult (There is usually no consult letter sent to the OB/GYN) or would you bill for a low level new patient E&M?
    Hope to get some good input- Thanks

  2. #2
    Join Date
    Apr 2007
    Alexandria, VA


    We donot bill but do keep a record. This is a courtesy service that we give. If you get paid for this, please let me know.

  3. #3
    Join Date
    Apr 2007
    Oil City


    It could not be a consult and also raises some other issues. Most times I have seen practices see this as a good will gesture and do not charge. Often times the pediatrician is not credentialed to see anyone over the age of 18 which makes billing of these to insurance companies pretty impossible. If he is only doing a BP then there would be no billable exam which would only leave History and MDM so if the Mom was new it could not be billed because all three key components were not met.... unless the physician is documenting his time counseling the Mom. If you charge you could lose business because most times the Meet and Greet is just good for business. But you could make it a cash service if the physician is not documenting true E/M's.
    Rhonda Buckholtz, CPC, CPC-I, CGSC, COBGC, CEPDC, CENTC
    Vice President, ICD-10
    800-626-2633 ext 183
    Fax: 814-217-0447

  4. #4
    Join Date
    Apr 2007
    Alexandria, VA


    Good Info Rhonda...

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