In Network Information:
Every insurance plan is different. To help you determine what your plan will cover at our office, we have put together a list of common appointment, lab and diagnostic codes used for billing purposes. We recommend calling your insurance and asking about the coverage of these commonly used codes:
– Appointment billing codes: 99358, 99354, 99205, 99215, 99214, 99213, and 99404.
– Diagnostic (ICD 10) codes: R53.83, E55.9, Z00.00, E03.9, Z13.1, R14.0, Z13.6, E06.3, and F41.9.
– Functional lab CPT codes: 80053, 85025, 84443, 84481, 84439, 84482, 86800, 86376, 80061, 83090, 86141, 84402, 84403, 82670, 82679, 82627, 84144, 83540, 83550, 83516, 82784, 83735, 82784, 82397, 82533, 86038, 85651, 86431, 84550, 83970, 81256, 83022, 83001, 82150, 82728. 82306, 82607, 82746, 83525, and 83036.
Out of Network Information:
Most insurances not listed above are considered out-of-network, including: Medicare, Medicaid, etc. We can provide you with a detailed bill for most services that contain ICD-10 diagnostic codes and CPT codes for reimbursement. We accept all HSA and FSA cards as a form of payment.
Labs and Specialty Kits:
Labs can cost up to $1,700 per scheduled draw. Depending on your insurance coverage, these costs may partially or completely go towards your deductible.
Group Education Billing:
Group education includes our shared medical visits, intensives, series, and group visits. Our in-network patients will pay a copay for each office visit included in the group education (ex. If an Intensive has four appointments, the patient will be billed per visit). For out of network/cash pay patients, our group education programs have a set fee that includes all of the program’s visits. Additionally, some of our series and intensives have a registration fee to cover additional materials provided throughout the event and to secure your spot in the program.
FSA & HSA Cards:
To pay for your consultations and laboratory fees, you may use your Health or Flexible Savings Account (HSA, FSA).