IBCLC Billing Code Finder
This tool walks you through visit type, duration or complexity, and which Patient (mother or infant) you are billing under. It returns a suggested CPT code, common ICD-10 options, documentation reminders, and typical 2026 fee ranges. It does not currently return an HCPCS selection.
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CPT code & fee finder
Answer 3 quick questions to find the right billing code, diagnosis codes, and fee range for your IBCLC visit.
Visit type
Duration & complexity
Duration
Complexity
Patient & diagnosis
Who is the patient?
How this tool works
The finder is a three-step wizard. Step 1 asks whether the visit is for a new Patient, an established Patient, or a follow-up. Step 2 captures total time spent on the date of service and the medical decision-making complexity. Step 3 asks whether you are billing under the mother (O-codes) or the infant (P-codes and Q-codes). It then returns the most specific CPT code that matches your inputs, suggested ICD-10 diagnoses, the documentation elements required to defend the code on audit, and rate ranges based on 2026 cash-pay and commercial reimbursement data. It does not submit claims and does not store entries.