Medical Billing Forum

Coding => Coding => : Char21 July 13, 2015, 01:54:23 AM

: Help in coding Neuropsychological testing or 96116
: Char21 July 13, 2015, 01:54:23 AM
As stated above the patient is being referred by another psychologist who has already billed the 90791.  We need to do the Mental Status exam by a psychologist, can we just bill the 96116 without the 90791 being charged again to this patient?
: Re: Help in coding Neuropsychological testing or 96116
: rdmoore2003 July 14, 2015, 07:55:32 PM
the 90791 is for psychiatric diagnostic evaluation.   96116 is neurobehavioral status exam, per hour of the psychologists time, both face-to face time with the patient and time interpreting test results and preparing the report.

i would say that if a different psychologist just doing a diagnostic eval, then use 90791.   Have you received the initial exam from the first psychologist?  How long has it been since the initial one was done?
: Re: Help in coding Neuropsychological testing or 96116
: Char21 July 15, 2015, 02:16:23 AM
Thank you Regina:  it has only been a week for the first psychologist and the dxs would be the same for both. I am going to bill 96116 and we will see.
: Re: Help in coding Neuropsychological testing or 96116
: rdmoore2003 July 16, 2015, 06:55:57 PM
If you are doing only the mental status and no testing, I would not use the 96116, due to the guidelines.
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