AAPC - Back to school
Results 1 to 2 of 2

Thread: Accutane urine pregnancy tests

  1. #1

    Post Accutane urine pregnancy tests

    AAPC: Back to School
    We see quite a few Accutane acne patients. As anyone who deals with Accutane knows, female patients must take urine pregnancy tests every month. These tests in our office are administered and read by the nurse before the monthly drug counseling and the Prescription is given. Are we able to code and charge for the pregnancy tests we administer or is that considered part of the drug treatment plan and under the medical visit for the acne condition? What about the actual monthly drug counseling? I think we actually can charge for them, but I'm not sure which codes would apply and result in optimum payment. Any ideas or thoughts?


  2. #2


    Accutane requires close monitoring and patients must sign a form stating they are not pregnant and don't intend to get pregnant while taking this RX.

    If the patient is seeing the Nurse only:
    You can code for preg test. Are you saying the nurse does a 81025 with V72.41 in the office. Depending on the nurse documentation could also code the 99211-25 with the 81025

    If the nurse is doing the testing as part of the physician visit for him to order or refill the Accutane, then can code for the lab test only. Nurse services would be included in the Physician E&M

    Who's doing the drug counseling? If the physician is as part of his visit, then it is included. Depending on time spent counseling and documentation, can code the physician visit based on time

    If the counseling is a separate encounter, then look at preventive or risk reduction code of 99401 etc

Similar Threads

  1. Coding Urine Drug Tests
    By lmrich78 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 12-04-2015, 01:12 PM
  2. Medicare Pregnancy Tests
    By missduck in forum Billing/Reimbursement
    Replies: 1
    Last Post: 05-20-2014, 06:25 PM
  3. Walk in Pregnancy Tests
    By mcohen in forum OB/GYN
    Replies: 4
    Last Post: 12-20-2013, 09:33 AM
  4. urine tests
    By chasarmil in forum Anesthesia
    Replies: 6
    Last Post: 03-12-2012, 09:54 AM

Tags for this Thread

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.