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Homebound Pediatric Patient

Bernadette Posted Wed 17th of December, 2014 14:23:08 PM

Hi,

We have a patient who had been in NICU since birth and was discharged by the hospital at 15 months of age. Our doctors (the patient's PCP) are going to be doing home visits to the patient because of his sensitive condition, to limit exposure to the patient. We are aware of the Home Visit CPT codes 99341-99345 however if this patient is due for his 18 month well visit and it is done at home, would the Home Visit CPT codes be appropriate? Or would the preventive CPT codes (99391) be correct- with the place of service(POS) as 12-HOME?

Thanks!

SuperCoder Answered Thu 18th of December, 2014 04:07:19 AM

From the above information, it seems that PCP would require to do multiple home visits. Preventive or well visit usually happens only once or twice a year. Also, it would not be appropriate to bill preventive visit code at 12 POS.

I think you should only use Home visit E/M codes.

Thanks !!

Bernadette Posted Thu 18th of December, 2014 10:15:48 AM

So it would be appropriate to bill the Home Visit CPT codes 99341-99345 with the ICD-9 code V20.2 if we do the preventive visit?

SuperCoder Answered Fri 19th of December, 2014 03:51:32 AM

Yes, you should bill the appropriate home visit E/M code.

Not sure about ICD V20.2, Unspecified motorcycle rider injured in collision with pedestrian or animal in nontraffic accident. You have not spoken anything about the diagnosis above.

Thanks !!

Bernadette Posted Fri 19th of December, 2014 16:44:38 PM

Hi,

I am not sure I understand what you mean -- V20.2 is the ICD-9 code is the Health Supervision of infant or child, coded during the well visit exams.

SuperCoder Answered Mon 22nd of December, 2014 07:36:57 AM

Sorry for the confusion. Yes, you can use ICD V20.2, Routine infant or child health check.

Thanks !!

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