Results 1 to 2 of 2


  1. Default debwiet
    Medical Coding Books
    what cpt do we use for a face to face consultation (half hour) encounter with a family member about a patients spouse who is terminally ill

  2. #2
    Milwaukee WI
    Default Who is the payer / was patient "present"
    First - who is the payer? If it is a government payer the patient MUST be present.

    Okay, the patient is terminally ill. Did the meeting (it is NOT a consultation) with the spouse occur on the hospital floor/unit? If so, that is considered "face-to-face" with patient. Use the counseling/coordination of care rules to determine the level of subsequent hospital visit.

    If the visit occurred in the physician's office, you can code it ONLY if the patient is NOT covered by Medicare or Medicaid, and the documentation must state the reason why the patient is unable to participate in the discussion ("terminally ill and in hospice care" would cover it).

    I know many physicians who do not charge anything for these types of visits with family. They consider it a part of the complete medical care of their patient.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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.