Results 1 to 6 of 6

Counseling session with mom-how to code

  1. #1
    Default Counseling session with mom-how to code
    Medical Coding Books
    My doctor seen a mom for 30 minutes to discuss her child behavior problems (11yrs old). The child was not in the office with the mom. My doctor referred the mom to an psychiatrist for a psy eval.

    How do I code this?

    Thanks

  2. #2
    Default counseling
    If counseling took place for 50% of the visit time, you may code for an office visit. Select an office visit whose associated time matches the total time of the visit.


    http://www.cms.gov/manuals/downloads/clm104c12.pdf

    Page 40 starts explaination of how to code for time based counseling. Note that even when coding based on time, you STILL must meet the threshold of medical necessity for the counseling.

    hope this helps

    http://www.acpinternist.org/archives...5/problems.htm this site may also be useful
    Last edited by jackson7591; 07-28-2011 at 01:49 PM.

  3. #3
    Default
    So I would code an Establish Office Visit? Even though my doctor did not see the patient (child) on this particular day, the mom came in to discuss her child behavior problems?

  4. #4
    Default reference
    http://www.hscj.ufl.edu/medicine/pbc...counseling.pdf

    Yes. So long as the person being counseled is responsible for the child and makes decisions on the child's behalf. Bottom of page one of this site. But again, need to establish a medical necessity for the visit.

    Also need documentation to establish relationship between the patient and the individual being counseled. Simply stating "mother of patient" is a good start, but more documentation is always better. "mother of patient who is currently responsible and involved in patient's care." would be even clearer. I'm always reminding our provideres to explain clearly their thought process.

    anyone else?

  5. #5
    Default
    Thanks for your help and reference material.

  6. #6
    Default no problem
    happy to help/provide information. I always either learn new information and references or better my understanding.

Similar Threads

  1. code for skype session
    By PBS123 in forum Behavioral Health
    Replies: 3
    Last Post: 06-20-2014, 03:01 PM
  2. Counseling code
    By perkins05 in forum Internal Medicine
    Replies: 2
    Last Post: 09-27-2012, 01:36 PM
  3. Counseling session with mom-what code?
    By aliciafin32 in forum E/M
    Replies: 2
    Last Post: 07-28-2011, 10:15 PM
  4. Counseling code?
    By veloso in forum E/M
    Replies: 3
    Last Post: 09-30-2010, 01:24 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.