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Fetal care visits

  1. #1
    Default Fetal care visits
    Medical Coding Books
    Hi Everyone,
    I am very interested to see what you think of the following scenerio. Please see below......

    Here is the background info: The fetal care center is part of a large pediatric hospital and ALL physicians are employed by the hospital.

    Scenerio: First the patient has several diagnostic tests performed (fetal MRI, fetal echo, ultrasound)

    The mom/family are then located in a comfortable room where several services interview/interact with them on an individual basis (pastoral care, social services, genetic counselor, etc)

    The fetal/maternal physician and the surgical physician, together, review the test results and prior records for the patient and develop a plan of care (for some cases, a specialist may also be involved such as urology, neurosurgery, etc)

    Next, the physicians involved, patient/family, and often some of the other non-physician providers who have met with the family meet for a "care conference" to discuss with the patient/family what the findings are, the recommended plan of care as well as any alternative care plans, answer questions of the patient, etc..

    Can both physicians who are present for the face to face "care conference' with the patient bill for the total time of the meeting? All these services are billed with E/M codes by TOTAL TIME OF SERVICE, as the majority of the face to face meeting is always counseling and coordination of care services. (EX:meeting with patient is 60 minutes, Maternal MD bills 99244 and surgical physician bills 99244)

    Any info is appreciated as well as documentation sources.

    K. Day

  2. #2
    Milwaukee WI
    Default CPT Guidelines
    CPT 2009 Professional Edition, page 27 MEDICAL TEAM CONFERENCES.

    The guidelines specify that: Physicians may report their time spent in a team conference with the patient and/or family present using evaluation and management codes (and time as the key controlling factor for code selection when counseling and/or coordination of care dominates the service.)

    I thank that says it pretty clearly.

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 12-10-2009 at 02:10 PM.

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