Ask a billing team about 99403 and you’ll usually get one of two answers: “we use it all the time” or “what is that?” It belongs to the preventive counseling category
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A claim bounces back with a modifier edit, and nobody in the billing office remembers ever adding “AF.” Or a payer bulletin announces that AF is now required, and no one
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A claim for 99402 usually goes wrong long before it reaches the payer. The visit note says “counseled patient on lifestyle changes” with no minutes recorded, the diagnosis points to a
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A physician spends fifteen minutes counseling a patient with a family history of early heart disease on diet and activity. The visit is valuable and the claim looks simple. Then the
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A pediatric clinic sends out 400 well-child claims in a month. Every chart has a completed developmental questionnaire clipped inside, and every claim carries a 96110 line. Three weeks later, the
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A dietitian sees a returning patient with type 2 diabetes for 30 minutes. The note reads “follow-up, reviewed food log, discussed carbs.” The claim goes out as 97803 for three units.
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A speech-language pathologist finishes a full cognitive-linguistic evaluation on a stroke patient. She administers a standardized battery, scores it, and writes the report. The claim goes out with 92523 and 96125
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A licensed clinical social worker submits a 90837. The note is thorough, the diagnosis fits, and the patient’s coverage is active. Three weeks later the remittance shows a denial, and the
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A psychologist spends 45 minutes with a 68-year-old who keeps losing the thread of conversations. She works through attention, language, memory, and planning. That evening she spends another 40 minutes interpreting
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CPT code 97802 covers the first individual, face-to-face medical nutrition therapy (MNT) visit, where the dietitian performs an initial assessment and starts the intervention. It is billed in 15-minute units. Claims
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