tci Medicare Compliance & Reimbursement - 2008 Issue 8

Coding Coach: Make Diagnosis Codes Support Preventive Med Claim

2 scenarios pinpoint the perfect counseling code You could be missing out if you don't report preventive medicine counseling codes 99401-99404 on the same day as a problem-based E/M visit when your physician counsels the patient on an unrelated issue.Crux of the problem: "Sometimes a patient comes in for preventive care/counseling without a specific problem or complaint, and we're hesitant to code these visits correctly because we're worried about the insurance company not paying for the service," says Karen Green, CPC-H, OGS, coding specialist for Eau Claire Women's Care in Wisconsin. "But what we have to remember...

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