tci Medicare Compliance & Reimbursement - 2019 Issue 12

Reader Question: Know the Coding Rules When the Patient Isn’t Present

Question: A patient’s wife presented to talk about her husband’s colonoscopy results and diverticulitis, treatment options, and which medications he should take. How can we bill for this visit? Michigan Subscriber Answer: The answer will depend on which insurer covers the patient. According to CPT® rules, if the patient’s family members present to the practice to discuss the patient’s condition with the physician, you should report the visit based on time that the family members spend with the doctor using an E/M code from the 99201-99215 series. Because the doctor is performing counseling based on...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.