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Person consulting for another...What to bill?

  1. #1
    Question Person consulting for another...What to bill?
    Medical Coding Books
    My doctor talked with the patients parents about his medical care. Now, my question is do we bill this service under the patient or the parents? I would code a 99211-99215 with the dx code V65.19, right? Oh, how I wish that someone could help me on this one.
    Thanks Guys!

  2. #2
    Tacoma Washington
    There is a lot of missing information in that scenario. Was the patient seen that day as well and the doc followed up with a discussion with the parents? Was it simply a couseling session? What exactly was discussed? There are a lot of variables here. If it's an est pt ov and the pt was seen as well that day, I would consider coding based on time (99211-99215) if the doc spent a min of 50% of the visit on counseling/coordination of care. Codes +99358 and +99359 might also be appropriate if the pt was seen in addition to the encounter with the parents.

    That's all I could think of at the moment with the information given.


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