Want to see if your insurance policy will cover the visits?
Start by calling the 800 number on the back of your insurance card and ask to speak with a representative. See below for what questions to ask your insurance company.
Make sure to have a pen and piece of paper to write down any and all details. Also make sure you write down the reference number for the phone call.
What are the questions I should ask when calling my insurance company?
Do you provide coverage for the following CPT codes: 97802 & 97803?
● If they say you do not have coverage using those codes, NEXT ask them to check your coverage for the following CPT codes: 99401, 99402, 99403 and 99404.
Will my diagnosis be covered?
● If the representative asks for a diagnosis code – please tell them the visit is coded the ICD-10 code: Z71.3
● If they don’t accept Z71.3 then provide them with Z72.4 and see if they will cover that diagnosis instead on your plan.
● If you are overweight, obese, have pre-diabetes, diabetes, hypertension, or high cholesterol you may want to see what your coverage is for these diagnoses as well.
● I always code your visit using preventative coding to maximize the number of visits you receive from your insurance carrier.
● If they don’t accept Z71.3 then provide them with Z72.4 and see if they will cover that diagnosis instead on your plan.
● If you are overweight, obese, have pre-diabetes, diabetes, hypertension, or high cholesterol you may want to see what your coverage is for these diagnoses as well.
● I always code your visit using preventative coding to maximize the number of visits you receive from your insurance carrier.
How many visits do I have per calendar year?
● Your carrier will let you know how many visits they are willing to cover. Depending on the carrier the number of visits vary from 0 to unlimited depending on medical need.
Still have questions? No problem!
I can assist you with finding out your coverage.
Email Brooke at brookeamarie01@gmail.com
Brooke
