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Professional Services -

Naturopathic Physicians

Naturopathic physicians must use the E/M CPT® codes to bill office visit services, CPT® codes 99367 and 99441-99444 to bill case management services and the appropriate HCPCS codes to bill for miscellaneous materials and supplies.

USE OF CPT E/M CODES FOR NATUROPATHIC OFFICE VISITS

Naturopathic physicians may bill the first 4 levels of CPT® new and established patient office visit codes. L&I uses the CPT® definitions for new and established patients. If a provider has treated a patient for any reason within the last 3 years, the person is considered an established patient. Refer to a CPT® book for complete code descriptions, definitions and guidelines.

Refer to Case Management Services, page 38 in the Evaluation and Management section for payment criteria and documentation requirements for case management services.

L&I will not pay naturopathic physicians for services that are not specifically allowed. Refer to Chapter 296-23 WAC for additional information.