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Office visit question

  1. #1
    Location
    EUGENE, OR
    Posts
    55
    Question Office visit question
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    Does anyone know if you have a visit scheduled for a patient's family to be counseled about the patient's condition (patient has just been put on hospice) can you bill out a regular e/m visit based on counseling time, since it states face to face with the patient and/or family?

    Thank you!

  2. #2
    Default
    You can't bill that to Medicare, but other insurances may pay it. Make sure your provider documents everything very carefully! See this thread for more info...

    http://www.aapc.com/memberarea/forum...ad.php?t=27538
    Walker Bachman, CPC, CPPM

  3. #3
    Location
    EUGENE, OR
    Posts
    55
    Default
    Also, the doctor just informed me, she is meeting with the family at the nursing facility where the patient is staying. Everything I am reading tells me there is no way to bill for this service. Any other information?

  4. #4
    Default
    Since the encounter is taking place in an SNF, I think this service would be covered as part of the Initial visit code (99304-99306).
    Walker Bachman, CPC, CPPM

  5. #5
    Location
    EUGENE, OR
    Posts
    55
    Default
    Quote Originally Posted by Walker22 View Post
    Since the encounter is taking place in an SNF, I think this service would be covered as part of the Initial visit code (99304-99306).
    Yes, but the doctor seen the patient in the SNF Yesterday initially. She is meeting with just the family tomorrow. Is this something that you can bill the family for, since most of what I have read states medicare will not pay without the patient present?

  6. #6
    Default
    Hi
    is there an e&m code to use if the family comes in without the patient but the patient has medicare. I said to use 96155 since consult codes are no longer available. Does anyone have another suggestion?
    Thanks

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