Medical Billing Forum

Billing => Billing => : jenniferp April 12, 2019, 05:33:11 PM

: Medicare Counseling....
: jenniferp April 12, 2019, 05:33:11 PM
Hello All --

Does anyone know if there is a code for just general counseling for Medicare patients (i.e., 99401-404 preventative medicine counseling)?  The only counseling codes that I can see that are covered are the ones specific to tobacco or alcohol abuse.

Some of my providers swear there is a covered code CPT, HCPCS, "G" code, otherwise, but in all of my research, I have been unable to find it.

Thanks in advance.

Jennifer
: Re: Medicare Counseling....
: Michele April 14, 2019, 11:13:08 AM
What type of counseling?  Like what are they covering with the patient?
: Re: Medicare Counseling....
: jenniferp April 15, 2019, 12:52:59 PM
Any type of general counseling other than tobacco or alcohol.  If they're in for the flu, counseling regarding washing of hands, avoiding contact with others while contagious, etc.
: Re: Medicare Counseling....
: Michele April 15, 2019, 02:51:58 PM
I am not familiar with a separate counseling code for general things like that.  I would think they would be considered as part of the E&M code and that the time spent would be considered when determining the level.
: Re: Medicare Counseling....
: PMRNC April 17, 2019, 12:23:18 PM
Any type of general counseling other than tobacco or alcohol.  If they're in for the flu, counseling regarding washing of hands, avoiding contact with others while contagious, etc.

Agree with Michele..these things most definetely should be included with the appropriate E/M and not billed separately. There is a CPT (98960)for NON physician patient education but things like telling a patient to wash hands or take precautions with certain illness's would NOT qualify.
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