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Thread: How should I bill this???

  1. #1
    Join Date
    Apr 2007

    Default How should I bill this???

    AAPC: Back to School
    Here is a scenario... this is a Medicare patient.

    The physician has a one hour meeting with the patient's wife to discuss issues related to her husband. The patient has a history of PTSD related to his Vietnam experience and bipolar I.

    The DR writes a letter to another DR @ the VA clinic addressing these issues and at the end she suggests that the pt should go into a home health service.

    This letter is the only thing the DR gave me to code off of. She wants to bill a CPO 99340 E/M, but this clearly does not meet the documentation requirements.

    How should I bill this service??? I cannot find anything!
    Last edited by jennyifer; 08-22-2011 at 10:15 AM.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Patient not present?

    If the patient was not present, I'm not sure you can bill at all. Medicare requires face-to-face encounter. Even when the patient is unable to participate in medical decision making and the entire focus of the encounter is counseling/coordination of care with responsible family member (or designated healthcare POA), the patient MUST be present to bill for Medicare.


    F Tessa Bartels, CPC, CEMC

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