Summary & Overview
CPT 6110F: Dementia Counseling on Driving Risks and Alternatives
CPT code 6110F represents documentation that a clinician provided counseling to a patient with dementia about the risks of driving and available alternatives, and that such counseling may include the patients guardian or caregiver. Nationally, this code captures an important safety-focused counseling event that intersects geriatrics, neurology, primary care, and behavioral health. Recording counseling about driving for patients with cognitive impairment has implications for clinical risk management, care planning, and quality measurement.
Key payers included in discussions of this code are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find concise context on the clinical purpose and typical settings for the service, guidance on where this counseling is commonly delivered (office-based ambulatory clinics and specialty memory centers), and notes about missing input fields where data were not provided. The publication also outlines the types of benchmarks and policy updates readers typically expect for counseling and quality-measure codes, and clarifies the national relevance of documenting driving-safety discussions for dementia care coordination and patient safety.
Data not available in the input for specific modifiers, associated taxonomies, ICD-10 diagnoses, related codes, payer-specific coverage rules, and service-line financial benchmarks.
Billing Code Overview
CPT code 6110F documents counseling provided to a patient with dementia about driving risks and alternatives. The service description indicates the provider discusses the safety concerns of driving with the patient and may include the patients guardian or caregiver in the counseling.
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Service type: Counseling and care coordination focused on driving safety for patients with dementia
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Typical site of service: Outpatient clinic or office visit where patient and caregiver/guardian are present, including geriatrics, neurology, primary care, or memory disorder clinics
Data not available in the input for modifiers, associated taxonomies, ICD-10 diagnoses, related codes, and specific payer rules.
Clinical & Coding Specifications
Clinical Context
A 78-year-old patient with a diagnosis of Alzheimer disease presents for a routine neurology follow-up. The patient’s daughter, who is the designated caregiver and health proxy, accompanies the patient. During the visit the provider reviews recent episodes of confusion, missed stop signs reported by the caregiver, and cognitive testing results showing progressive decline in executive function and visuospatial skills. The provider documents a structured counseling session about driving safety, including an explanation of crash risk, legal responsibilities, local reporting requirements, and practical alternatives such as family transport, community shuttle services, ride-hailing options, and referrals to occupational therapy for driving evaluation. The discussion is documented in the medical record, and the caregiver’s questions are answered. The visit may include notification of the patient’s guardian if required and coordination with social work to arrange transportation resources. The typical workflow includes chart review, cognitive assessment, counseling session, documentation of informed counseling, and care coordination or referrals.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service | Use when an E/M visit is provided the same day as the counseling and the E/M meets criteria distinct from the counseling content |