IBCLC Billing Code Review Tool
This tool separates Patient status, office, home or residence, synchronous telehealth, and qualified-nonphysician telephone formats, qualifying time or documented MDM, and the Patient named on the bill. It surfaces code options to verify, not a final coding decision. It also explains when no code can be suggested from the information entered.
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Billing code review tool
Review possible code families and the checks that must be completed before billing.
An IBCLC credential alone does not establish billing eligibility. Confirm the reporting professional's license, scope, enrollment, contract, documentation, and current payer policy. This tool does not choose a final code.
This flow reviews common office, home or residence, synchronous audio-video, synchronous audio-only, and qualified-nonphysician telephone paths. Preventive counseling, S9443 classes, health-risk screening, brief communication, and asynchronous digital E/M require separate service-specific review.
1. Service and Patient status
How this tool works
The review has three steps. First, choose office, home or residence, synchronous audio-video, synchronous audio-only, or qualified-nonphysician telephone service and confirm new or established Patient status where needed. Next, use exact qualifying minutes or a separately documented MDM level and confirm provider eligibility and modality rules. Finally, choose the Patient and documented concern. The result shows conditional code paths, prolonged-service thresholds, diagnosis options, and payer checks. Preventive counseling, S9443 classes, health-risk screening, brief communication, and asynchronous digital E/M require separate service-specific review. The tool does not assign diagnoses, estimate national fees, submit claims, or store entries.
See if it fits how you work
Try NuBloom free for 14 days. Setup takes a few minutes, and you can bring your own templates or use ours. No credit card needed.
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