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Marilyn Posted 1 Year(s) ago
Mother came in to seek dietary counseling for 2 year old son "witout the patient". Nutritionist is billing the visit under the mother and documentations states that the counseling refers to the 2 year old son. Should't the session be billed unter the 2 year old son even if the patient was not present?
SuperCoder Posted 1 Year(s) ago

Thanks for your question. We will be providing you the answer shortly.

Thanks.

SuperCoder Posted 1 Year(s) ago

Hi,

 

Please note that Medicare does not pay for family meetings without the patient present. In case when your payer follows CPT guidelines, you can bill this service based on the time. Codes 99201-99215 says “Typically, __ minutes are spent face-to-face with the patient and/or family” but if you are billing codes 97802 etc., payer will not pay for this because this code requires face-to-face presence of the patient.

 

You should use ICD code Z71.0 (Person encountering health services to consult on behalf of another person)

 

Please be informed that billing should always be done under the name of the patient even if the patient is not physically present.

 

Thanks.

Marilyn Posted 1 Year(s) ago
So bill under the patient name with "Z71.0"? Thank you.
SuperCoder Posted 1 Year(s) ago

Correct.

 

Thanks

Posted by Marilyn, 1 Year(s). There are 5 posts. The latest reply is from SuperCoder.

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