I am the Business Office Director for an OB-GYN practice. Can we bill for the services provided by a lactation consultant?
Reimbursement depends on coverage provided by your state’s insurers and whether the lactation consultant is a nurse, an advanced practice nurse or a non-nurse. Check the Reimbursement Tool Kit for Lactation Consultants for answers to billing questions. Your billing service may want to contact all of the insurers that your patients use and determine what codes they require for the service. Billing for lactation services should always be done as this establishes the need for the IBCLC and documents outcomes of the services. The AAP has guidelines, Supporting Breastfeeding and Lactation: The Primary Care Pediatrician’s Guide to Getting Paid, available at http://www.aap.org/breastfeeding/CODING.pdf.
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