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Consulting with a Parent

Tina Posted Mon 16th of November, 2015 17:14:04 PM

When a physician has a consult with the patient’s parents regarding an issue with a patient, but the patient is not present, can we bill with a 99212-99215 even though the patient is not present?

SuperCoder Answered Tue 17th of November, 2015 08:56:51 AM

According to Medicare, Medicare does not allow billing for family meetings without having the patient present.So, you can not bill this service.
Please confirm your payer, that is Medicare or Non- medicare payers.

Tina Posted Wed 18th of November, 2015 11:02:45 AM

Commercial or non medicare member.

SuperCoder Answered Thu 19th of November, 2015 08:22:45 AM

If a commercial payer follows CPT rules, than a physician could bill the encounter as a meeting with the parent. The physician would bill the service based on time, document the nature of the counseling, and describe the reason why the service did not include the patient.

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