Re: question about codes for BlueCross/Blue Shield

[Guest guest]

I am in Arizona, and am just re-entering that lovely

arena where I am billing insurance(once again)through

an office. And May I add YUCK!?

99404 PREVENT MED CNSL-SEP PROC; 60 MIN

Is what I have been using so far and have gotten

re-imbursed.

> V25.09 GEN OTH CNSL & ADV CNTRACPT MGMT

is what I have changed to because I found that

V26.4 GN CNSL & ADV PRCREATIVE MGMT was being treated

as an infertility code.

If your client has physical signs and symptoms, like

headaches, etc, you could code for those things as

well.

I am not sure what the FC at the end of your numbers

means? I could not find the H1010 code either.

In addition to you calling the insurance company, I

recommend you have your *client* call them as well and

tell her to complain royally! Ask the company what

range of codes they reimburse for family planning.

They may not tell you a " specific " code because then

they could concievably get in trouble, but if they

give you a range, you can pick through and choose the

most appropriate code.

Good luck!

--- Knutson wrote:

When I asked about the CPT code

> H1010 which is what is used in another FertilityCare

> Center in MN for lump sum payment, and 99404FC1,

> which is the code for the first follow-up, she said

> they do not pay for family planning education. Is

> there another code I should be using? I see a code

> from a clinic in WI has a code 99429FC. Is that

> what I should be using? Will the providers in

> Nebraska please respond? Also, is ICD-9 code of

> V25.09 correct?

>

> I don't understand how a BC/BS of MN insurance card

> can be handled by another state.

The insurance companies and billing companies do that

all the time (work out of a different state)

Sandrock, CNM

Creighton Model Fertility Care System

Nurse-Midwife/Practitioner Intern

my online bookstore...

http://familyfriendlybooksetc.spreadtheword.com

__________________________________________________

[Guest guest]

BCBS of MN just asks for one claim (it's a package price), so

for us it's important to put 1 for the Days/Units

category.

H1010 should be listed for the CPT code. And no modifier is

used for BCBS.

Sue Ek

BOMA-USA

Re: question about codes for BlueCross/Blue Shield

I am in Arizona, and am just re-entering that lovelyarena where I am billing insurance(once again)throughan office. And May I add YUCK!?99404 PREVENT MED CNSL-SEP PROC; 60 MINIs what I have been using so far and have gottenre-imbursed. > V25.09 GEN OTH CNSL & ADV CNTRACPT MGMTis what I have changed to because I found thatV26.4 GN CNSL & ADV PRCREATIVE MGMT was being treatedas an infertility code.If your client has physical signs and symptoms, likeheadaches, etc, you could code for those things aswell.I am not sure what the FC at the end of your numbersmeans? I could not find the H1010 code either.In addition to you calling the insurance company, Irecommend you have your *client* call them as well andtell her to complain royally! Ask the company whatrange of codes they reimburse for family planning.They may not tell you a "specific" code because thenthey could concievably get in trouble, but if theygive you a range, you can pick through and choose themost appropriate code.Good luck!--- Knutson wrote:When I asked about the CPT code> H1010 which is what is used in another FertilityCare> Center in MN for lump sum payment, and 99404FC1,> which is the code for the first follow-up, she said> they do not pay for family planning education. Is> there another code I should be using? I see a code> from a clinic in WI has a code 99429FC. Is that> what I should be using? Will the providers in> Nebraska please respond? Also, is ICD-9 code of> V25.09 correct? > > I don't understand how a BC/BS of MN insurance card> can be handled by another state. The insurance companies and billing companies do thatall the time (work out of a different state) Sandrock, CNMCreighton Model Fertility Care SystemNurse-Midwife/Practitioner Internmy online bookstore...http://familyfriendlybooksetc.spreadtheword.com__________________________________________________