We bill for preconception counseling fairly regularly. V25.4 is incorrect. 1) it needs a fourth digit and 2) this code is for contraception surveillance (checking an IUD, giving another Depo shot or re-issuing a rx for the Pill, etc.) and is not a good code to use for preconception counseling. We use V25.09 (Family Planning Advice).
We have also found that only a very robust insurance plan will cover preconception counseling--most of the time the member will need to pay out of pocket.
~Kelli
Midwife Billing & Business, LLC