Medical Billing Forum

Coding => Coding => Topic started by: wendy case on October 06, 2010, 10:57:34 AM

Title: codes to use for Clinical PsyD with Sleep Specialty
Post by: wendy case on October 06, 2010, 10:57:34 AM
I bill for a clinical psychologist whose specialty is sleep medicine and behavioral sleep therapies.  She treats basic obstructive sleep apnea as well as insomnia and other sleep disorders.  She is concerned about the most appropriate coding to use for her office visits as she is not an MD, although she is fellow trained in all areas of sleep medicine. 

Typically, patients are referred to her from their primary care or other specialist with a sleep related diagnosis. Can she use E & M codes, even though she is doing no exam?  Should she only be using Health & Behavior Coding?

Any help you can give in this area is greatly appreciated.

thanks!
wendy
Title: Re: codes to use for Clinical PsyD with Sleep Specialty
Post by: Michele on October 07, 2010, 07:30:42 AM
Even though she is treating medical conditions (as opposed to mental health conditions - which I am not trying to imply are not medical) she is still providing therapy isn't she?  I would think the therapy codes would be appropriate (90801-90808).  The e&m codes to not sound appropriate for what you have described.

Michele