icd 10 code for lactation counseling

Encounter for care and examination of lactating mother. Z39.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z39.1 became effective on October 1, 2018.

Full Answer

What is the ICD 10 code for lactation?

Diagnosis Index entries containing back-references to Z39.1: Care (of) (for) (following) lactating mother Z39.1 Examination (for) (following) (general) (of) (routine) Z00.00 ICD-10-CM Diagnosis Code Z00.00 Lactation, lactating (breast) (puerperal, postpartum) mother Z39.1 (care and/or examination) Supervision (of) lactation Z39.1

What is the CPT code for lactation counseling services?

“Lactation counseling services will be covered under code S9443 for non-physician lactation consultants. A physician who provides lactation counseling services can bill under the appropriate office visit evaluation and management (E&M) code. The service includes a face-to-face visit of no less than 30 minutes that involves the following:

What is the ICD 10 code for counseling?

Z71- Persons encountering health services for other counseling and medical advice, not elsewhere classified Z71.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM Z71.89 became effective on October 1, 2020.

Who can perform medical lactation services?

Medical lactation services shall be performed by either: Physicians, certified nurse midwives (CNMs), nurse practitioners (NPs), and physician assistants (PAs) who have training and experience providing medical lactation services International Board Certified Lactation Consultants (IBCLCs) who are employed by the physician or physician group

What CPT code is used for lactation counseling?

Lactation consultations (98960) are considered not separately reimbursed and part of the E & M service when it is provided at the same time as an E&M visit.

What is the ICD-10 code for lactating mother?

Z39.1Billing for the Infant's MotherMOTHERICD-10-CM CodesUnspecified disorders of lactationO92.70Galactocele (Other disorders of lactation)O92.79Encounter for care and examination of lactating mother (Excludes encounter for conditions related to O92.-)Z39.1Other21 more rows

How do you bill a lactation consultant?

“Lactation counseling services will be covered under code S9443 for non-physician lactation consultants. A physician who provides lactation counseling services can bill under the appropriate office visit evaluation and management (E&M) code.

What is the ICD-10 code postpartum care?

Z39ICD-10 code Z39 for Encounter for maternal postpartum care and examination is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD 10 code for feeding difficulties?

ICD-10 code R63. 3 for Feeding difficulties is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is lactation suppression?

Lactation suppression refers to the act of suppressing lactation by medication or other non pharmaceutical means. The breasts may become painful when engorged with milk if breastfeeding is ceased abruptly, or if never started.

Does Medicare cover lactation consultant?

Pursuant to federal regulations, a lactation consultant is not included among the types of non-physician practitioners authorized to receive payment for services as a supplier under the Medicare program.

What is procedure code 99402?

CPT® Code 99402 in section: Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure)

Who can bill CPT 99401?

Providers can bill for preventive medicine counseling (99401) of at least 8 minutes but less than 15 minutes in duration; however, they must add the “U5” modifier to the procedure line to indicate it is a “reduced service” which will result in the payment weight for the line being discounted by 30%.

What services are included in postpartum care?

The comprehensive postpartum visit should include a full assessment of physical, social, and psychological well-being, including the following domains: mood and emotional well-being; infant care and feeding; sexuality, contraception, and birth spacing; sleep and fatigue; physical recovery from birth; chronic disease ...

How do I bill for postpartum care?

Date of postpartum visit - The postpartum visit should occur 4-6 weeks after delivery. Submit a claim with the actual date the postpartum service was rendered. Use CPT Category II Code 0503F (Postpartum care visit) and ICD-9 code V24.

What is the ICD-10 code for postpartum follow-up visit?

Z39.2ICD-10 Code for Encounter for routine postpartum follow-up- Z39. 2- Codify by AAPC.

Insurance Coverage for Lactation Consultants

In 2012, the Affordable Care Act required that new health plans in the US were generally required to cover breastfeeding support, supplies and counseling.

CPT Codes for Lactation Consultation Services

There are no dedicated CPT codes for lactation services. This means lactation consultants who are able to bill insurance (i.e. providers who are licensed in another specialty) for their services must use more general CPT codes, commonly evaluation and management codes for new or returning patients.

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What is the code for lactation?

To report follow-up services provided by a nonclinical provider to treat a lactation problem diagnosed by a physician, you may consider reporting from code series 96156, 96158, 96159, 16164 , 96165, 96167, 96168, 96170, 96171 (new codes for 2020) (Health and behavior assessment/intervention).

Is lactation counseling included in global obstetrics?

Routine lactation counseling is considered part of the global obstetrics package for postpartum services and is, therefore, not reported separately. Only codes for complications, illness, or disease can be excluded from the routine postpartum care and billed in addition to global services.

What is the code for lactation counseling?

“Lactation counseling services will be covered under code S9443 for non-physician lactation consultants. A physician who provides lactation counseling services can bill under the appropriate office visit evaluation and management (E&M) code.

What does a non-physician see after breastfeeding?

After a breastfeeding (or any other health) problem has been established by the physician, a qualified non-physician health care professional may see the patient to identify the psychological, behavioral, emotional, cognitive, and social factors important to the prevention, treatment or management of physical health problems.

Who has developed CPT codes?

◆ The American Medical Association (AMA) has developed specific CPT codes intended for use by qualified health care professionalswho are not Physicians to report their services. In some instances the intended use of a procedure or service is within the description of the code.