Here’s what to look for in your ob-gyn’s documentation.
Although you may know offhand what preventive medicine counseling code you should report, you could be setting yourself up for a denial if you overlook supporting documentation.
Refer to the scenarios on page 60, and see what our experts recommend in each situation.
Brush Up on This Birth Control Example
Solution 1: You should report 99401, say both Mona Lisa LaBonte, CPC, president of MBNE Inc. in Hudson,Mass., and Donna Blanton, CPC, coding team lead at Obstetrics and Gynecology Associates in Fairfield, Ohio.You should link it to V25.01 (Encounter for contraceptive management; prescription of oral contraceptives).
When the physician prescribes alternatives such as the contraceptive patch during a preventive medicine counseling session, link V25.02 (Initiation of other contraceptive measures) to the appropriate code for preventive medicine, individual counseling (99401-99404). [...]