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Preconceptual OB consultations

  1. #1
    Question Preconceptual OB consultations
    Medical Coding Books
    I need some advice on how to code preconceptual consultations for conditions the patient has (congenital heart disease, lupus, etc). I am using V26.49 (Other procreative management, counseling and advice) as primary and the conditions as secondary. We have a local carrier that is denying these claims. Has anybody had similar experiences with this situation and know a better way to code these?

  2. #2
    What CPT code are you billing? I would bill the counseling codes (I don't have my CPT book with me right now and I don't remember the codes) not an E/M (99201-99215). I agree with the ICD-9 coding.
    Christina Lee Wagner, CPC, CPC-H

  3. #3
    Milwaukee WI
    Default Who are you coding for?
    Also, are you coding for the OB/GYN or are you coding for the patient's primary physician? Has another physician requested a consultation from you regarding the patient's condition?

    F Tessa Bartels, CPC, CPC-E/M

  4. #4
    I am coding for OB-GYN. These are physician requested consultations.

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