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Coding for counseling

  1. Default Coding for counseling
    Medical Coding Books
    Which code would you use for a 2 hour session by a physician (not a psychiatrist) counseling a patient who has become opioid dependent due to a medical condition?

    History of illness and plan for intervention and rehab discussed.

    Last edited by skrispi; 02-17-2010 at 02:33 PM.

  2. #2
    standard office E&M codes should cover this situation as long as it's documented properly

    99215 + 99354... ?
    Walker Bachman, CPC, CPPM

  3. #3
    Greeley, Colorado
    Look at 99408-99409. Read the heading prior "Counseling Risk Factor Reduction and Behavior Intervention". I don't have any experience with 99408-99409 but it sounds like an E/M can also be coded (with mod -25) if significant and separately identifiable. Just my thoughts...
    Lisa Bledsoe, CPC, CPMA

  4. #4
    I thought about those codes, but they say "structured screening (AUDIT,DAST)". Since neither of those tests were done, nor any others that I could tell, I discarded them as possible answers. Having said that, I'm not an expert on this issue (substance abuse) either. Maybe someone who is will post here soon...
    Walker Bachman, CPC, CPPM

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