CPT^® 96040, Under Medical Genetics and Genetic Counseling Services

The Current Procedural Terminology (CPT^®) code 96040 as maintained by American Medical Association, is a medical procedural code under the range - Medical Genetics and Genetic Counseling Services.

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Summary

A trained nonphysician genetic counselor analyzes a patient’s family risk factors for genetic conditions, analyzes available medical information, and counsels the patient and family.

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Forum

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Any restrictions on who can use Z71.83 Encounter for non procreative genetic counseling?

Hello, My practice NPs have recently started providing cancer genetic counseling, billed under the NP license. Is there any restriction to the use of Z71.83 code by NPs? I'm asking because I am awar... [ Read More ]

Genetic counseling - Our facility is going to start

I researched and set up the billing process for the last oncology practice I worked where genetic counseling services were offered. What I recall is: [LIST] [*] We used E/M codes, not 96040 because ... [ Read More ]

Genetic counseling - Our facility is going to start

The answer is in the definition of the code. 96040 - Medical genetics and genetic counseling services, each 30 minutes face-to-face with patient/family. "Each 30 minutes" means you bill in 30 minute... [ Read More ]

Genetic counseling - Our facility is going to start

[QUOTE="DCarmelaMD, post: 377331, member: 303405"] [B]96040 how many time provider can bill[/B] kindly let me know if the counseling done 90 minutes can the provider billed 96040 cpt code 3 times ? [... [ Read More ]

GENETIC COUNSELING

96040 for genetic counseling requires that the time spent is 16-30 minutes to claim one unit, if a genetic counselor spends only 15 minutes with the patient in counseling is it within guidelines to th... [ Read More ]

Genetic counseling telemedicine

I've been trying to find information on whether Blue Cross, UHC, Aetna, and Cigna accept any genetic counseling telemedicine services and what codes they would reimburse. The only thing I have found r... [ Read More ]

Genetic Counseling - billing an E/M

[b]Genetic counseling and Billing an E/M[/b] 1. Genetic counseling billed under CPT 96040 is non-covered by Medicare and most other insurances, yet we continue to charge and bill. Please validate ge... [ Read More ]

Can neurologist bill 96040 genetic counseling?

Can neurologist bill 96040 genetic counseling? (1) If ‘yes’ - what are the applicable codes and descriptions? (2) Are there conditions or restrictions?... [ Read More ]

Genetic Counseling - billing an E/M

[b]angelah[/b] We have been billing our 2 credentialed Genetic Counselors using code 96040, but many insurance companies are denying these claims. Should we be adding the the type of genetic testing ... [ Read More ]

Genetic Counseling

Hi, I am looking at how to charge for Genetic counseling. I know the code 96040/S0265 they are pretty straight forward. But in Iowa genetic counselors are not recognized to bill independently so ... [ Read More ]

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