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October 2002 · Vol. 14, No. 10

REIMBURSEMENT ADVISER

Counseling patients on contraceptive options

Q

How do I bill for patient counseling on contraception when no exam was performed? An insurance carrier has denied the code 99211 with V25.49.

A

The diagnostic code V25.49 implies the patient already has been placed on a contraceptive other than birth control pills (an IUD or implantable device). If you are counseling a patient prior to initiating contraceptives, use a code from the V25.0 category (general counseling and advice).

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