-
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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Weight management counseling code
- Thread starter NIEVESM
- Start date
encomma-watson
Networker
Weight management couseling code
I have the same problem the only thing is that my supervisor is using a physical therapy code for a lifestyle modification counseling code. We need to be using this with an E/M code.
I have the same problem the only thing is that my supervisor is using a physical therapy code for a lifestyle modification counseling code. We need to be using this with an E/M code.
mitchellde
True Blue
How about V69.1 for couseling for inappropriate diet and eating habits?
mitchellde
True Blue
How about V69.1 for couseling for inappropriate diet and eating habits?
dballard2004
True Blue
I'll wager an opinion here.
If this is truly dietary counseling on a specific, established illness (i.e., obesity, DM, etc), then you would report the appropriate E/M level (99201-99215). If the provider spends greater than 50% of the visit counseling the patient, then the E/M level may be based on time (making sure the CMS requirements are met).
As for an ICD-9-CM code, again if this is truly dietary counseling, report code V65.3 as the primary. For the secondary code, I would recommend you report the disease or condition that the counseling is being provided for (i.e., obesity, DM, etc). A third code for the patient's BMI could also be added if it is documented.
Hope this helps and again this is my opinion.
If this is truly dietary counseling on a specific, established illness (i.e., obesity, DM, etc), then you would report the appropriate E/M level (99201-99215). If the provider spends greater than 50% of the visit counseling the patient, then the E/M level may be based on time (making sure the CMS requirements are met).
As for an ICD-9-CM code, again if this is truly dietary counseling, report code V65.3 as the primary. For the secondary code, I would recommend you report the disease or condition that the counseling is being provided for (i.e., obesity, DM, etc). A third code for the patient's BMI could also be added if it is documented.
Hope this helps and again this is my opinion.
encomma-watson
Networker
weight management counseling code
In our practice, we use the E/M codes (99203-99205, 99213-99215) and the overweight code or obesity codes (278.00, 278.01). Now because we do Body Fat Anaylsis (93720) we also use also the V65.3 as well as the BMI codes for adults. What I am trying to tell my billing manager that using 97530 is not correct. She calls that Lifestyle Counseling but that is nothing but a physical therapy code all day, everyday. What are you all opinions on this?
In our practice, we use the E/M codes (99203-99205, 99213-99215) and the overweight code or obesity codes (278.00, 278.01). Now because we do Body Fat Anaylsis (93720) we also use also the V65.3 as well as the BMI codes for adults. What I am trying to tell my billing manager that using 97530 is not correct. She calls that Lifestyle Counseling but that is nothing but a physical therapy code all day, everyday. What are you all opinions on this?