Billing

Possible ICD-9 Codes:

  • 995.80 Adult maltreatment, unspecified
  • .81 physical abuse
  • .82 emotional/psychological abuse
  • .83 sexual abuse
  • .84 neglect (nutritional)
  • .85 other abuse and neglect - multiple forms of abuse and neglect
  • V15.41 History of physical abuse and rape
  • V15.42 History of emotional abuse
  • V15.49 History of other abuse
  • V61.10 Marital problem
  • V61.11 Counseling for the victim of spousal abuse
  • V61.8 Family conflict
  • V62.81 Interpersonal relationship problems, not elsewhere classified

Possible CPT Codes:

  • 99201 to 5 New patient evaluation and management
  • 99212 to 5 Established patient evaluation and management
  • modifier 21 Prolonged evaluation and management services
  • modifier 25 Separately identifiable E&M on same day (abnormal bleeding plus abuse issue)
  • 99361-1 30 min. team conference
  • 99361-2 60 min. team conference
  • 99371 to 3 3 Levels of phone calls for consultation or coordinating management
  • 99385 New age 18-39 patient comprehensive preventive medicine visit
  • 99386 New age 40-64 patient comprehensive preventive medicine visit
  • 99387 New age 65 or older patient comprehensive preventive medicine visit
  • 99401 to 4 Preventive medicine counseling
  • 99058 Office services provided on an emergency basis (disrupts schedule)