tci Part B Insider - 2008 Issue 6

Position Preventive Medicine Counseling Codes Correctly

Learn why a patient's illness negates using these codesIf the patient sees the physician just for counseling and does not have an established illness, you should use one of four codes, says Karen Green, CPC-H, OGS, coding specialist for Eau Claire Women's Care in Wisconsin. Depending on the session's duration, assign:- 99401--Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes- 99402--... approximately 30 minutes- 99403--... approximately 45 minutes- 99404--... approximately 60 minutes.According to CPT, counseling codes apply when a physician counsels on family problems, diet and exercise, substance abuse, sexual...

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