I am a RN, IBCLC currently doing outpatient lactation consults in a family physician clinic.
We are currently using 99211 (nurse visit) for both mom and baby, my supervising physician then closes my encounters (EPIC).
The 99211 code (~$48) is really meant for a quick weight check appointment, not a 2 hour lactation consult.
What billing codes are you all using?
Thank you for any help!
Roxanne 
Roxanne Gollata, RN, IBCLC, RLC
Thedacare Physicians Outpatient Lactation Consultant
Encircle Health
2500 E Capitol Drive, Suite N2106
Appleton, WI 54911
Office: 920-358-1418
Appointments: 920-738-4600
Fax: 920-738-4792
roxanne.gollata@thedacare.org
#1 by RSickels-Wahlers on April 14, 2014 - 9:47 am
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I would LOVE for this to be a topic at one of our next WALC meetings! Everyone seems to do things somewhat different.
#2 by HLynch on April 15, 2014 - 2:12 pm
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I work in a hospital setting where we bill for outpatients. We use geneally use ICD-9 code 9.779.31 – Feeding Difficulty in the Newborn. We were doing all our billing under the infant because we were receiving better reimbursement. We did recently change this due to issues with coverage for “boy” infants. We now bill under the mother no matter the diagnosis for better coverage.
#3 by Debra Durchslag RD, CD, MPH, IBCLC on April 17, 2014 - 10:54 am
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I found this article on coding for pediatric visits from the AAP:
http://www2.aap.org/breastfeeding/files/pdf/coding.pdf.
Hope it is helpful.