Pulmonology Coding Alert

Question: Is there a way we can offset the cost of educational materials, pamphlets, etc., that we provide to patients and payers?


Montana Subscriber

Answer: CPT does contain a code for educational materials: 99071 (Educational supplies, such as books, tapes and pamphlets, provided by the physician for the patient's education at cost to physician).

You might check with your payers to determine if they will reimburse you for the cost of educational materials using 99071. But don't be surprised if most payers decline.

As an alternative, you could ask the payer about having their beneficiaries cover the cost of educational materials directly. This is not permissible for Medicare beneficiaries since this service is considered "bundled" into any other service that you are reimbursed for under the Physician Fee Schedule.

Keep in mind, however, that it may be worth your while to cover the cost of such materials yourself if it cuts down on the number of follow-up calls and other unbillable activities you may be forced to handle.