AAPC - Back to school
Results 1 to 5 of 5

Thread: Consultation with parent

  1. #1
    Join Date
    Apr 2007

    Default Consultation with parent

    AAPC: Back to School
    A parent came in and used up an appointment time to discuss their child with the Pediatrition. Child was not there. Can he bill for this?


  2. #2
    Join Date
    Apr 2007
    Lubbock, TX


    Quote Originally Posted by dmetz View Post
    A parent came in and used up an appointment time to discuss their child with the Pediatrition. Child was not there. Can he bill for this?

    I don't have my CPT with me, but I know there's a section on non face-to-face physician services - check there, and in the miscellaneous physician services in the back of the medicine section to see if you can find something that fits.

  3. #3
    Join Date
    Apr 2007


    According the CPT manual for E/M clinic services (eg, 99213), "Physicians typically spend XX minutes face-to-face with the patient and/or family". As long as the discussion is related to the child's condition and care, the provider may bill the E/M based on time (due to the fact that more than 1/2 the visit would be spent in counseling) as long as he/she documents that time in the note. I would recommend using code V65.19 - other person consulting on behalf of another person as an additional diagnosis code.

  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default Parent = patient

    This is more frequently used in pediatrics because a minor child is not considered qualified to assist with medical decision making, so in essence the parent IS the patient.

    I would not include the V65.19.

    I would bill the visit based on time spent in counseling/coordination of care.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  5. #5
    Join Date
    Apr 2007


    Thanks so much


Similar Threads

  1. Parent Dr. consult
    By beesknees in forum Pediatrics
    Replies: 2
    Last Post: 10-28-2015, 07:44 AM
  2. Can I bill patient's parent if they're under their parent's plan
    By JesseL in forum Billing/Reimbursement
    Replies: 1
    Last Post: 07-01-2014, 01:02 PM
  3. parent consult
    By danadee30 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-29-2012, 07:53 AM
  4. parent visit only
    By HBULLOCK in forum Pediatrics
    Replies: 7
    Last Post: 08-06-2009, 01:09 PM
  5. Counseling Parent w/out pt present
    By lapcpc in forum E/M
    Replies: 5
    Last Post: 05-18-2009, 09:09 AM

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.