I haven't peeked yet at the ICD10 codes, but currently I am billing an E/M visit and get much better reimbursement on baby, than mom. If I document on both those, I bill for both.  


Diagnostic codes I've used are the standard V20.1, V20.2 and 783.3 (feeding difficulty), 796.1 (suck reflex abnormal), 779.31 (feeding problems), V67.59 (follow-up to resolved problems), 520.7 (abnormal weight loss), 750.1 (abnormal tongue position), and 771.7 (neonatal candida infection). 


For mom, the standard V24.1 or anyone of these:
676.24 engorgement of breast (not billable)
676.04 inverted nipple
676.14 cracked nipple
675.24 mastitis, nonpurulent
675.14 mastitis, abscess
676.34 nipple trauma

I don't see the frenotomy/frenectomy codes on my cheat sheet, although I have used them with success in the past. I'll have to dig those up and send at a later point.

 
Blessings,

Penny Lane MSN, CNM, IBCLC
Believe Midwifery Services.com

E-mail is not an acceptable mode of communicating private healthcare information, nor is it a reliable way to reach your midwife. While Penny is certainly happy to receive your e-mails, please consider this a one way route of communication. If you have a general question, please either save it for your next scheduled visit or call the office at (765) 436-7527. If you are a current client and have an urgent or emergent need, please utilize our answering service at (877) 893-9995.

Confidentiality Note:  The information contained in this e-mail message is legally privileged and confidential information intended for the use of the individual or entity named above.  If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution, or reproduction of the e-mail is strictly prohibited.  If you have received this e-mail in error, please immediately notify us by telephone and return the original e-mail to us at [log in to unmask]
Thank you.


             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome