Results 1 to 4 of 4

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
    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
    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
    Good Info Rhonda...

Similar Threads

  1. Billing post op office visit when insurance denied surgery for no pre auth
    By in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-11-2015, 06:47 AM
  2. Replies: 0
    Last Post: 03-26-2015, 07:54 AM
  3. Pre-op visit billing
    By in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 08-21-2014, 04:41 AM
  4. Unregistered "Patient" for Pre-Natal Tour
    By ellenroberts in forum Pediatrics
    Replies: 0
    Last Post: 01-16-2014, 11:30 AM
  5. Pre natal visits over 13
    By cynannthomas in forum OB/GYN
    Replies: 5
    Last Post: 09-01-2010, 10:46 PM

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.