Patient came in stating reason for visit "consultation reagrding genetic testing" she has a strong family history of colorectal cancer. The MD is scheduling a screening colonoscopy which under normal cicumstances not allow us to bill an E/M per AGA guidance. However, he did spend 20 minutes counseling her on having genetic testing for lynch syndrome (HNPCC). Would this discussion be billable under 99401 if documented accurately? I am thiking no since the code specifies risk factor reduction which you cannot do for genetics. Help, having self doubts.....

If no, could we have the pateint sign an ABN stating time with teh physician to discuss this is a non-covered service and bill her directly? I hate to give 20 min of MD time away when the pateint just wants to pick his brain.

Anna Barnes, CPC, CEMC