AAPC - Back to school
Results 1 to 4 of 4

Thread: Prevenative Visit with counseling

  1. #1
    Join Date
    Apr 2007
    Modesto California

    Question Prevenative Visit with counseling

    AAPC: Back to School
    Our new doctor is billing 99397's with face to face time for additional counseling on coordination of care with pt (99402). Does the 99397 need a modifier and/or isn't that counseling already included in that visit and it should only be coded as a 99397?

  2. #2


    Did the doctor document total time spent with the patient and how much was spent on counseling and what he counseled them on?? I know that over 50% or more of the time needs to be spent counseling or he has to document how many minutes he spent counseling with patient otherwise it's included in the 99397.

    Hope this helps

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    You cannot apply the 50% counseling rule to preventive encounters as there is no timed component for this encounter. any counseling that occurs during a preventive is part of that encounter and is not separately billable.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Join Date
    Apr 2007
    Modesto California


    Thanks Debra your always a great help.

Similar Threads

  1. extended counseling visit
    By coder32 in forum E/M
    Replies: 0
    Last Post: 03-07-2013, 05:45 PM
  2. Counseling visit for pysch
    By veloso in forum Behavioral Health
    Replies: 5
    Last Post: 11-03-2011, 01:40 PM
  3. well visit and counseling
    By nikki_coder in forum Pediatrics
    Replies: 3
    Last Post: 12-09-2009, 09:17 AM
  4. Ped. Office visit vs. counseling ???
    By karenmcgrady in forum Pediatrics
    Replies: 1
    Last Post: 11-17-2009, 11:30 AM
  5. Billing a Prevenative office visit along w/ vaccines
    By Irma in forum Family Practice
    Replies: 8
    Last Post: 10-28-2009, 07:51 PM

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.