Coding > Coding

Preconception Counseling

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ravik:
 kindly suggest the correct ICD and CPT codes

Michele:
I think the ICD9 you are looking for is V26.4 - Procreative Management, General Counseling and Advice.  As for the CPT code, it depends on who is performing the service.  If it is a mental health provider then you would use one of the counseling codes 90801-90847.  If it is a medical provider you might want the consultation codes 99241-99275.

Michele

Pay_My_Claims:
**snicker** Sorry but I just had to

ravik:
Michelle

  We coded 26.4 with 99204, claim returned saying they don't cover routine exams and it is patient responsibility, service has been provided by a OB/GYN Physician at her office.

Thanks
Ravi

PMRNC:
That could very well be as some plans do not cover preventative screenings/visits. If the claim was denied but was coded correctly the patient would be responsible for payment.

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