99401-99404

  1. J

    Wiki Please help! Can 99401 be billed for discussion of prenatal genetic test during antenatal care?

    So my providers bill globally for prenatal care. But one of my providers has been trying to bill 99401 for discussing prenatal genetic tests with the patient. Is this billable? I know most payers consider discussing breastfeeding and pumping to support 99410. I can't find anything saying...
    • jhbpine
    • Thread
    • 99401 99401-99404 antenatal care cpt 99401 genetic tests obstetrics prenatal screening prenatal tests
    • Replies: 2
    • Forum: OB/GYN
  2. J

    Wiki 99401-99404

    Hi, Can 99401-99404 be used to bill for lactation counseling services provided at an outpatient clinic at the Hospital? Thank you! Julie
  3. M

    Wiki Molina is automatically downcoding office visits without requesting medical records.

    I do billing for an internal medicine physician who specializes in weight management. Most of his visits are coded as 99214 or 99215 + 99401 or 99402. We do not have a lot of Molina patients, but of the ones we do have, every single claim gets downcoded from 99214 to 99213. We do not receive a...
  4. B

    Wiki 99401-99404

    I am billing these preventative counselling codes in addition to E&M visits with modifier 25 (example 99214-25), for doctors in Indiana and in Utah. Is anyone being reimbursed for them? I am getting reimbursed for tobacco cessation counselling (99406)- but just started with these. Just curious...
  5. B

    Wiki 99401-99404 Preventative medicine counseling and/or risk factor reduction interventio

    Has anyone used these codes 99401-99404? If so, can you please share how the payer reimbursing the service? Is this being counted as Preventative care on the patient's benefit and if patient only has one preventative care service (99391-99394) in a year, how does 99401-99404 affect the...
    • Billing2
    • Thread
    • 99401-99404 care preventative service share
    • Replies: 0
    • Forum: Pediatrics
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