Author Topic: Mental Health coding  (Read 1105 times)

jerryredd

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Mental Health coding
« on: November 20, 2014, 12:18:32 PM »
I am pretty comfortable with medical billing because I have been billing for 20+ years.  I am working for a mental health provider now and have a few questions about mental health coding.  We bill a 90837 for a 1 hr visit for $100.  We have started doing 1 1/2 hr sessions when needed.  How do I bill for that?  I looked into it and mental health coding changed a little last year.  It looks like the 90837 code is good for any session from 53 minutes up to 90 minutes.  Is that correct?  Any ideas?

Michele

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Re: Mental Health coding
« Reply #1 on: November 20, 2014, 01:19:23 PM »
The 90837 is the highest level for outpatient individual psychotherapy.
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rdmoore2003

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Re: Mental Health coding
« Reply #2 on: November 21, 2014, 02:16:18 PM »
The 90837 is for 53-60 minutes.  If a patient is seen longer, 90839 can be used, ONLY, if it is documented as a crisis.   If it is not a crisis, 90837 is the highest level you can code. 
Regina

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Re: Mental Health coding
« Reply #3 on: November 21, 2014, 03:06:59 PM »
Agree with Regina, you also want to make sure you have authorization for the right code.
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