Billing
Coding patient care for domestic abuse helps public health surveillance, research and funding for this problem. However, consider privacy issues if the abuser may see bill. Legally, patients may request that bills and EOBs be sent to an alternative address. It is illegal for insurance companies to discriminate against patients with a history of domestic abuse.
Providers may be able to obtain reimbursement for patients who otherwise do not have insurance or self-pay options through the California Victim Compensation Program.
Possible ICD-9 Codes:
995.80
.81
.82
.83
.84
.85
v15.41
v15.42
v15.49
v61.10
v61.11
v61.8
v62.81
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Adult maltreatment, unspecified
physical abuse
emotional/psychological abuse
sexual abuse
neglect (nutritional)
other abuse and neglect
History of physical abuse and rape
History of emotional abuse
History of other abuse
Family disruption (divorce, seperation)
Counseling for victim of spousal abuse
Problems with family members
Interpersonal problems, not elsewhere classified
|
Possible CPT Codes:
99201 to 5
99212 to 5
modifier 21
modifier 25
99361-1
99361-2
99371 to 3
99384
99385
99386
99401 to 4
99058
|
New patient evaluation and management
Established patient evaluation and management
Prolonged evaluation and management services
Separately identifiable E&M on same day (abnormal bleeding plus abuse issue)
30 min. team conference
60 min. team conference
3 Levels of phone calls for consultation or coordinating management
New adolescent patient comprehensive preventive medicine visit
New age 18-39 patient comprehensive preventive medicine visit
New age 40-64 patient comprehensive preventive medicine visit
Preventive medicine counseling
Office services provided on an emergency basis (disrupts schedule)
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[Adapted from Guidelines for the Health Care of Intimate Partner Violence, California Medical Training Center, 2004 and “Coding and Documentation of Domestic Violence”]
