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billing for a pre-natal visit with pediatrician

  1. #1
    Default billing for a pre-natal visit with pediatrician
    Medical Coding Books
    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
    Smile
    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
    Default
    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
    AAPC
    800-626-2633 ext 183
    814-673-7177
    Fax: 814-217-0447
    rhonda.buckholtz@aapc.com

  4. #4
    Smile
    Good Info Rhonda...

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