Medical Billing Forum

Coding => Coding => Topic started by: rdmoore2003 on September 11, 2015, 02:25:58 PM

Title: PSYCH TESTING
Post by: rdmoore2003 on September 11, 2015, 02:25:58 PM
Has anyone had any success with Medicare when coding for 96101 and 96102 in the same day for same patient?  They updated information in June 2015 to cover but I personally have had no luck, nor anyone that I know.
Title: Re: PSYCH TESTING
Post by: Michele on September 13, 2015, 01:16:42 PM
I have not billed both codes together.  :(
Title: Re: PSYCH TESTING
Post by: rdmoore2003 on September 23, 2015, 09:18:46 AM
If anyone has any luck with this, please post.  Specifically looking at 96101 & 96102
Title: Re: PSYCH TESTING
Post by: PMRNC on September 29, 2015, 10:23:06 AM
Generally carriers will not pay for these tests on one day. Best to have patient come back for different session. Most won't even authorize both for same day.
Title: Re: PSYCH TESTING
Post by: rdmoore2003 on October 01, 2015, 09:57:18 AM
Generally carriers will not pay for these tests on one day. Best to have patient come back for different session. Most won't even authorize both for same day.


I agree Linda.   I did find documentation that Medicare updated in June 2015 stating they will cover the 96101 and 96102, along with other codes, on the same day.  However, I do not know of anyone that has had success in this and of course Medicare will not elaborate on how they require the codes to be sent, ex:  will they require a modifier?