MedicalLactation Decision Tree
A SelectSmart.com Flowchart by lpearson
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The Lactation Decision Tree will help facilitate the correct choices for a patient's work through.

               
Regular Appt- Appt made ahead and put on schedule - Applies to non-PPC pt. as well
YES
OK to see pt. Can use Consultation Code if insurance will allow. Document in appropriate chart (either Mother or Baby)
 
 
 

NO








Was baby seen by provider, same day (for sick reason)?
YES
Do feeding concerns lie with the mother?
YES
Can be seen by Jessica same day - no modifiers needed - Use "Mother"Dx codes for billing and chart in "Mother's" chart
 
 

NO



NO





Was mother seen by OB and referred?
YES
Be aware of potential billing issues if mother was seen same day as Jessica. Bill under the baby, if possible
Feeding concerns with the baby?
YES
Can be seen same day but need modifier 25 as well as specific Dx, not used by previous provider
 

NO








Has a provider specifically requested a Consult for the Mother?
YES
Check Ins. coverage - if allowed, a Consult code can be used with the proper "paper trail" - written request, followed by written report back to requesting provider
 
 
 

NO








Has the provider specifically requested a Consult for the baby?
YES
Check Ins. coverage - if allowed, a Consult code can be used with the proper "paper trail" - written request, followed by written report back to requesting provider