Guest guest Posted January 16, 2012 Report Share Posted January 16, 2012 Hello to all, I haven't posted for awhile. Hoping that everyone is finding good times with the arrival of the New Year. I have had my PP for about 2 years now. I have been asked by a local Ped to see pt in her office. She wants me see the babies that come in for their first office well baby check. She wants to be a full service office where all mom's/baby's needs will be met. She does not want to pay me. She wants to pay me from insurance reimbursements. She said that she doesn't have the overhead to pay me. I know that group if for PP, but I have a question for anyone who many be working in a Peds or OB office and the codes that they are successfully using. The codes that I have are from the ABC's of PP and the CD from ILCA. Unfortunately the codes that I have are the same codes that the Ped is using. She said that we can't use the same codes. Any help would be greatly appreciated. Thank you, Porter BA, IBCLC, RLC From Heart 2 Tummy Private Lactation Consultation, Breastfeeding Supplies and Rental Station @... 11444 13th Ave Hanford, CA 93230 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 ok...she wants you there but she doesn't want to pay you. and she's dictating what codes you can use? hmmm. doesn't sound like a good arrangement to me. an office visit for lactation code would be appropriate. and whatever dx there is you would use that. I don't really get it. Beebe, M.Ed., IBCLC Lactation Consultant/Postpartum Doula www.second9months.comwww.facebook.com/thesecond9months.--- On Mon, 1/16/12, submama4 wrote:Subject: Codes for officeTo: Date: Monday, January 16, 2012, 3:43 PM Hello to all, I haven't posted for awhile. Hoping that everyone is finding good times with the arrival of the New Year. I have had my PP for about 2 years now. I have been asked by a local Ped to see pt in her office. She wants me see the babies that come in for their first office well baby check. She wants to be a full service office where all mom's/baby's needs will be met. She does not want to pay me. She wants to pay me from insurance reimbursements. She said that she doesn't have the overhead to pay me. I know that group if for PP, but I have a question for anyone who many be working in a Peds or OB office and the codes that they are successfully using. The codes that I have are from the ABC's of PP and the CD from ILCA. Unfortunately the codes that I have are the same codes that the Ped is using. She said that we can't use the same codes. Any help would be greatly appreciated. Thank you, Porter BA, IBCLC, RLC From Heart 2 Tummy Private Lactation Consultation, Breastfeeding Supplies and Rental Station @... 11444 13th Ave Hanford, CA 93230 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 Apparently I am pioneering in this field as far as a Medi-cal consultant is concerned. She has told me that there are not specific codes for LC's. I am very new to the insurance/code side of billing for LC services. When I go see a mom in her home, I give her all the info to bill insurance on her own if she wants to. I have never really looked into the codes until I was in the office and was shown what codes the Ped uses. The codes that I have, I thought were designated for LCs. I now know that this is not true. They are the same ones that Peds use in their office. The ped said that you can't bill the same code for the same pt on the same day by different people. I am wondering if there are any LC's out there that are working in an office setting, are educating woman on breastfeeding, answering questions and working with moms/babies that are having problems AND are not part of the office staff. Thanks for any help. Porter BA, IBCLC, RLC From Heart 2 Tummy Private Lactation Consultation, Breastfeeding Supplies and Rental Station @... 11444 13th Ave Hanford, CA 93230 Quote Link to comment Share on other sites More sharing options...
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