Poll

Medicare patient is being referred by another psychologist for Mental status exam (96116). Can we use 90791 and 96116 or just bill 96116?

Only bill 96116
0 (0%)
Or 90791 & 96116
1 (100%)

Total Members Voted: 1

Author Topic: Help in coding Neuropsychological testing or 96116  (Read 1474 times)

Char21

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Help in coding Neuropsychological testing or 96116
« 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?

rdmoore2003

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Re: Help in coding Neuropsychological testing or 96116
« Reply #1 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?
Regina

Char21

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Re: Help in coding Neuropsychological testing or 96116
« Reply #2 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.

rdmoore2003

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Re: Help in coding Neuropsychological testing or 96116
« Reply #3 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.
Regina