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Codes 99401 under medicare

  1. Default Codes 99401 under medicare
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    HI, JUST BEGAN BILLING FOR NURSE PRACT/MIDWIFE. SHE HAS YOUNG MEDICARE PATIENT AND BILLED 99401 WITH THE FAMILY PLANNING V25.09. THIS IS MY FIRST VENTURE INTO FAMILY PRACTICE CODING. PLEASE ADVISE ME.

  2. #2
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    Jacksonville Florida Chapter
    Posts
    205
    Default
    I would think that would work since all the nurse pract/midwife is doing counceling for "sexual practices" (family planning in this case) as defined in the guidelines for 99401.

    Playing the devil's advocate.... If a claim gets kicked back with those codes, I would first assume it's because you're not supposed to use V25.09 as a primary Dx.
    John Meyer, CPC
    Heekin Clinic

  3. #3
    Default
    The answer you seek lies here:
    http://www.cms.gov/apps/physician-fe...-criteria.aspx
    and it has nothing to do with the diagnosis code.

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