I am billing for an MD and a PA working in the same office with specialties in breast cancers. They are billing for genetic couseling and evaluation and management concecutively on the same day by using two e&m codes. I'm not sure this is the correct way to bill for these services. They are billing the office visit (99213) with dx 174.X and then they are also billing 99213 for the genetic counseling using dx V16.3. I believe they should be billing one e&m code utilizing total time spent for established patients. For new patients without disease or symptoms, they could bill the appropriate e&m along with 99401-99412. Am I correct? TIA
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Genetic counseling - I am billing for an MD
- Thread starter dpage77
- Start date
Cottrell
Guest
genetic counseling
There is a genetic counseling HCPCS code.
S0265 for genetic counseling under physician supervision each 15 minutes.
Now as to whether insurance will pay for it is another question all together.
There is a genetic counseling HCPCS code.
S0265 for genetic counseling under physician supervision each 15 minutes.
Now as to whether insurance will pay for it is another question all together.