Billing for Medical Genetics and Genetic Counseling Services: A National Survey

被引:23
作者
Harrison, Tabitha A. [1 ]
Doyle, Debra Lochner [1 ,2 ]
McGowan, Caroline [2 ]
Cohen, Leslie [2 ]
Repass, Elizabeth [2 ]
Pfau, Ruthann B. [2 ]
Brown, Trish [2 ]
机构
[1] Washington State Dept Hlth, Genet Serv Sect, Kent, WA 98032 USA
[2] Natl Soc Genet Counselors, CPTr Working Grp, Chicago, IL USA
关键词
Genetic counselor; Reimbursement; Billing; CPT (R) code; RISK-ASSESSMENT; ECONOMICS; CHILDREN;
D O I
10.1007/s10897-009-9249-5
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
In January 2007 the American Medical Association added a new Current Procedural TerminologyA (R) (CPT) code, 96040, for "Medical Genetics and Genetic Counseling Services." In order to identify the impact of having this new code and to identify issues with implementation of the code, the National Society of Genetic Counselors (NSGC) CPTA (R) Working Group surveyed NSGC members using an internet-based survey tool. The majority of respondents (94%) reported being aware of the new code and over half of the respondents (69%) said they were billing for genetic counseling. Approximately 24% of those billing reported using 96040. Many facilities are not using this code and the reported success of billing using 96040 is highly varied. Continued education may be beneficial to encourage reimbursement for 96040 and follow up is needed to assess the ongoing implementation and impact of the new CPTA (R) code.
引用
收藏
页码:38 / 43
页数:6
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