JanetA_51595
New member
Family Meetings =Can we bill insurance if the patient is not present ? Just a caretaker/ family member present to consult with Provider
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Resolved Family Meetings - Can We Bill Insurance if The Patient Is Not Present
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Lori
Well-known member
Yes, you can but will insurance pay is another question so check with your payer.
Medicare, for example, departs from the CPT manual definition of counseling and coordination of care, which allows for patient/family and requires that the patient be present.
But some codes by their nature of definition don't require patient presence. Depending on the patient's circumstances, the situation above might be covered by the care plan oversight codes 99340, 99375, 99378 or 99380.
www.physicianspractice.com
In the ICD-10 guidelines it states:
Counseling -Z codes are used when a patient or family member receives assistance in the aftermath of an illness or injury, or when support is required in coping with family or social problems.
Medicare, for example, departs from the CPT manual definition of counseling and coordination of care, which allows for patient/family and requires that the patient be present.
But some codes by their nature of definition don't require patient presence. Depending on the patient's circumstances, the situation above might be covered by the care plan oversight codes 99340, 99375, 99378 or 99380.
Coding for a Patient That's Not Present
This month's coding column: An elderly patient's grown daughter comes in for an office visit without the patient, is there a code for that?
In the ICD-10 guidelines it states:
Counseling -Z codes are used when a patient or family member receives assistance in the aftermath of an illness or injury, or when support is required in coping with family or social problems.
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