I think billing for "something else" is dangerous territory. When I was in med school we had lousy student insurance that didn't cover well visits. At the time I appreciated my daughter's doc coding a 99213 for "Diaper Rash" (which she barely had) on some well visits. But now I feel we should bill for what we do (no more, no less), and leave it up to the parents to gripe to their employer about the inadequate insurance. The flip side of this issue is why insurers will pay "mental health providers," and not primary care providers, for identical services. I was trained in residency to diagnose and treat ADHD, I'm board certified and licensed, and I'm on the provider panel of the insurer. They don't say I can't treat otitis media because I'm not an ENT! Dave Hoffman Howell, MI