Author Topic: 2013 mental health codes  (Read 16028 times)

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
2013 mental health codes
« on: November 27, 2012, 11:48:23 AM »
I just received my 2013 cpt book.  I am confused a bit.  For mental health codes, it has listed that 90834 is psychotherapy 45 minutes with patient and/or family member.   Now, it shows that 90846 and 90847 are still active codes which is family therapy with and without patient present.   what is the difference between a 90834 and 90846/90847?
Regina

PMRNC

  • Hero Member
  • *****
  • Posts: 4218
    • One Stop Resources & Networking for Medical Billers
Re: 2013 mental health codes
« Reply #1 on: November 27, 2012, 12:22:53 PM »
Quote
what is the difference between a 90834 and 90846/90847?

90834 is the new CPT for interactive (time with patient present) therapy 45 min    and 90846/90847 is for family psychotherapy w/w/out patient   
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: 2013 mental health codes
« Reply #2 on: November 29, 2012, 11:19:59 AM »
just trying to figure things out on new codes.  let me know if I am at least on the right track, please.
provider sees an established patient for a medication check visit for 10 minutes without psychotherapy- old code billed was 90862-  new code just 99212 since no psychotherapy?

provider sees established patient for medication visit with minimal psychotherapy for 30 minutes- old code billed was 90805- new code billed is 99214 + 90833?  (99214 descriptions is 25 minutes whereas 90833 is described as 30 minutes?

Is this about right, Linda?
Regina

PMRNC

  • Hero Member
  • *****
  • Posts: 4218
    • One Stop Resources & Networking for Medical Billers
Re: 2013 mental health codes
« Reply #3 on: November 29, 2012, 04:03:56 PM »
A 90862 should have never been used for a simple med check only .. 90862 was for a medcheck WITH MINIMAL psychotherapy. The HCPCS code M0064 should have been used for simple med check NO therapy.

Quote
provider sees established patient for medication visit with minimal psychotherapy for 30 minutes- old code billed was 90805- new code billed is 99214 + 90833?  (99214 descriptions is 25 minutes whereas 90833 is described as 30 minutes?

That sounds correct, assuming all elements of the 99214 or any E/M used meets all documentation/criteria.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: 2013 mental health codes
« Reply #4 on: November 29, 2012, 04:40:58 PM »
do you think we will have to use modifiers?
Regina

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: 2013 mental health codes
« Reply #5 on: November 29, 2012, 04:45:04 PM »
A 90862 should have never been used for a simple med check only .. 90862 was for a medcheck WITH MINIMAL psychotherapy. The HCPCS code M0064 should have been used for simple med check NO therapy. quote]

sorry, I got my with and withouts messed up.

Regina

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4708
    • Solutions Medical Billing
Re: 2013 mental health codes
« Reply #6 on: November 30, 2012, 10:03:46 AM »
Modifiers for what?
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

rdmoore2003

  • Hero Member
  • *****
  • Posts: 625
  • Live Life and Love God
Re: 2013 mental health codes
« Reply #7 on: November 30, 2012, 01:40:41 PM »
modifiers for the 99214 & add on code of 90833.  or will this be a bundled package
Regina

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4708
    • Solutions Medical Billing
Re: 2013 mental health codes
« Reply #8 on: December 03, 2012, 07:49:48 AM »
Are you billing for a psychiatrist who is doing medication management and also psychotherapy?  If so then you may want to look at the 25 modifier to indicate the E&M, 99214, is separate from the psychotherapy.  If you are billing for a psychologist or LCSW I don't believe the 99214 & 90833 would be appropriate together.
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

PMRNC

  • Hero Member
  • *****
  • Posts: 4218
    • One Stop Resources & Networking for Medical Billers
Re: 2013 mental health codes
« Reply #9 on: December 03, 2012, 08:23:28 AM »
Quote
If so then you may want to look at the 25 modifier to indicate the E&M, 99214, is separate from the psychotherapy.

Why would a modifier be needed? The 90862 is being replaced with the appropriate E/M code for prescribers.  If there is NO therapy involved they need only bill the appropriate E/M code, however if they are doing therapy they will use the E/M code along with the new add appropriate add-on code for therapy.   
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Angie

  • Jr. Member
  • **
  • Posts: 98
Re: 2013 mental health codes
« Reply #10 on: December 03, 2012, 09:46:55 AM »
So if the "psychiatrist" was using 90817, 90819 or 90822 then do they stay the same with just the new add on codes:
90817= 90833
90819= 90836
90822= 90838

Or are all the 90817, 90819 and 90822 deleted and only use the 90833, 80836 and 90838?
I'm a bit confused myself........

PMRNC

  • Hero Member
  • *****
  • Posts: 4218
    • One Stop Resources & Networking for Medical Billers
Re: 2013 mental health codes
« Reply #11 on: December 03, 2012, 11:24:50 AM »
90817= 90833
90819= 90836
90822= 90838

Right but remember, the psychiatrist will use those above codes 90833, 90836, 90838.(These are INPATIENT psychotherapy codes). WITH Appropriate E/M code 
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Angie

  • Jr. Member
  • **
  • Posts: 98
Re: 2013 mental health codes
« Reply #12 on: December 03, 2012, 11:30:22 AM »
It is for an inpatient Residential Treatment Center. So those are not add one codes; those are the codes he would begin using 2013? Correct?

PMRNC

  • Hero Member
  • *****
  • Posts: 4218
    • One Stop Resources & Networking for Medical Billers
Re: 2013 mental health codes
« Reply #13 on: December 03, 2012, 12:50:05 PM »

Quote
It is for an inpatient Residential Treatment Center. So those are not add one codes; those are the codes he would begin using 2013? Correct?

If they are providing psychotherapy with their med management inpatient codes YES would be added on to the E/M a/o 1/1/2013
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

Angie

  • Jr. Member
  • **
  • Posts: 98
Re: 2013 mental health codes
« Reply #14 on: December 03, 2012, 03:41:52 PM »
Where would you put the added codes on the CMS 1500 form?
Our Doc likes to use those; even though it is facility; it is only for professional charges provided by the psychiatrist; separate charge from daily rate.