Medical Billing Forum

Coding => Coding => Topic started by: Char21 on July 12, 2015, 10:54:23 PM

Title: Help in coding Neuropsychological testing or 96116
Post by: Char21 on July 12, 2015, 10:54:23 PM
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?
Title: Re: Help in coding Neuropsychological testing or 96116
Post by: rdmoore2003 on July 14, 2015, 04:55:32 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?
Title: Re: Help in coding Neuropsychological testing or 96116
Post by: Char21 on July 14, 2015, 11:16:23 PM
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.
Title: Re: Help in coding Neuropsychological testing or 96116
Post by: rdmoore2003 on July 16, 2015, 03:55:57 PM
If you are doing only the mental status and no testing, I would not use the 96116, due to the guidelines.