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In California, licensed health care providers, including therapists, can certify an employee's need for leave under the Family and Medical Leave Act (FMLA). This includes licensed clinical social workers, psychologists, and marriage and family therapists.
Applying for FMLA The employee's health care provider must complete a certification form that validates the employee's serious health condition or that of an immediate family member. The employee must provide this certification to the employer within 15 calendar days of receiving it.
If the patient comes into the office to have FMLA paperwork filled out, you would use CPT code(s) 99455 or 99456 with the ICD-9-CM code of V68.
To apply: Notify your employer when you need leave. ... Your employer will let you know whether you are eligible for FMLA leave within five (5) business days of your notice. If you are eligible, your employer will provide you with your FMLA rights and responsibilities and any request for medical certification.