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e/m coding for end of life care

  1. #1
    Default e/m coding for end of life care
    Clearnace Sale
    Needing some help in coding this scenario...

    Patient comes in to see physician to discuss end of life planning. Patient is healthy, but wants to plan ahead and has discussion with physician about filling out advance directive and POLST forms.

    What CPT and ICD-9 codes would you use?

    I have tried billing 99213 w/ V65.49 (but was denied)

    --I ran across this code
    HCPCS code S0257- but not sure when to use.

    It has been suggested to use V66.7, but this code does not seem appropriate as pt is not sick..

    Any ideas would be greatly appreciated.

  2. #2
    I would probably go with 99429 the unlisted preventive medicine service. For a dx I would use V65.8.

    Laura, CPC, CEMC
    Last edited by LLovett; 12-16-2009 at 01:02 PM. Reason: forgot to put the dx code

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