Results 1 to 5 of 5

How would you bill this?

  1. #1
    Location
    Harrisburg, PA
    Posts
    11
    Default How would you bill this?
    Medical Coding Books
    I have a physician who saw the family of a patient to go over her medical needs and treatment options. The patient has memory loss along with multiple other medical problems including acute renal failure, dehydration, depression, diabetes, osteoporosis, and CAD. The patient was not there. He spent 45 minutes with the family. Can I bill this and if so, what code? I cannot find anything that may work so I am looking for advise from anyone. Thanks in advance.

    Ashley

  2. #2
    Default
    Look at 99358 (?)

  3. #3
    Default
    Quote Originally Posted by A_Warren View Post
    I have a physician who saw the family of a patient to go over her medical needs and treatment options. The patient has memory loss along with multiple other medical problems including acute renal failure, dehydration, depression, diabetes, osteoporosis, and CAD. The patient was not there. He spent 45 minutes with the family. Can I bill this and if so, what code? I cannot find anything that may work so I am looking for advise from anyone. Thanks in advance.

    Ashley
    Ashley,

    You can bill this as self pay to the family. The office really should establish a coding guideline/policy regarding this issue. I tried to get them to do that a few years ago when I was working there. It would need to be made clear to the family members who are coming in that it will be a self pay visit. You can bill it based on time to the party/parties that will be involved and collect it at the time of the service. There are not too many insurance carriers that will pay for this service. A few years ago there were a few carriers that would pay for this service. This is an outpatient visit correct?

    Good luck!
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  4. #4
    Location
    Harrisburg, PA
    Posts
    11
    Default
    Thanks Roxanne!

    I wish AS would have told the family something - anything. But he didn't. I don't think any thing will come from it. I am trying to get them to establish a policy like this, but it isn't moving very quickly... you know how they move. :-)

  5. #5
    Default
    Quote Originally Posted by A_Warren View Post
    Thanks Roxanne!

    I wish AS would have told the family something - anything. But he didn't. I don't think any thing will come from it. I am trying to get them to establish a policy like this, but it isn't moving very quickly... you know how they move. :-)
    Funny thing is this was discussed prior to AS even being there? I told them years ago- like 2004 that they needed to get something in writing and make sure the front desk gets a laminated copy, are they the ones who still schedule appts? If I were you I'd talk to PV or PR about it, you know how they are ... they like their $$. You have to talk to them in $$ thats the only language they understand!

    Have a good one!
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

Similar Threads

  1. 95971/95972 To Bill Or Not To Bill???
    By AndieL in forum Anesthesia
    Replies: 2
    Last Post: 10-28-2017, 06:22 PM
  2. employee flu shot - to bill or not to bill
    By arrana in forum Compliance General Discussion
    Replies: 0
    Last Post: 10-11-2013, 12:31 PM
  3. To bill a Pyloroplasty or not to bill.....
    By HILLIC in forum General Surgery
    Replies: 1
    Last Post: 07-15-2013, 11:20 AM
  4. Bill or not to bill that's the question!!??
    By Love Coding! in forum E/M
    Replies: 3
    Last Post: 03-13-2012, 05:11 PM
  5. how to bill or not bill for volunteer doctor
    By aces78rp in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-29-2007, 07:18 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?

Login

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.