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INSTRUCTIONS ON BILLING S0257

William Ivan Posted Fri 25th of July, 2014 14:51:58 PM

I COULD USE SOME GUIDANCE ON BILLING FOR CODE S0257. IS THIS A BILLABLE CHARGE AND DOES IT REQUIRE SPECIFIC MODIFIERS OR DIAGNOSIS CODES? IS THIS A COVERED/PAYABLE SERVICE UNDER MEDICARE?

SuperCoder Answered Mon 28th of July, 2014 08:00:51 AM

S0257; Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service)

Medicare and other federal payers do not recognize "S" codes. However, S codes may be useful for claims to some private insurers. Check with your major commercial insurance companies to see if they have a billing policy for this code.

Thanks for your question.

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