Coding > Coding

Coding question

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stellerdobes:
Has anyone billed for the following codes and if so can you tell me the documentation and medical necessity to safely bill and approximate reimbursement.

99091 remote pt monitoring

99490 non face to face chronic care management (and establishing care plans)

96103 assessment by computer

99407 tobacco use counsel

G0442 annual alcohol screen

G0443 brief alcohol misuse counsel

G0444 annual depression screen

Go446 CVD risk reduction counsel

Goo47 Obesity counsel

Michele:
We do bill for a couple of these but honestly most are not covered.  They are billed in addition to an E&M code and most insurances either do not cover or they are inclusive of the E&M (even with a 25 modifier).

PMRNC:

--- Quote ---Has anyone billed for the following codes and if so can you tell me the documentation and medical necessity to safely bill and approximate reimbursement.

--- End quote ---

I took this as looking for ways to document medical necessity to which I nor anyone else really can answer. The coding needs to "support" the documentation in the file. The codes provided were services codes to which diagnosis codes are assigned by the provider's documented and signed notes.

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