Author Topic: PSYCH TESTING  (Read 1248 times)

rdmoore2003

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PSYCH TESTING
« 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.
Regina

Michele

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Re: PSYCH TESTING
« Reply #1 on: September 13, 2015, 01:16:42 PM »
I have not billed both codes together.  :(
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rdmoore2003

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Re: PSYCH TESTING
« Reply #2 on: September 23, 2015, 09:18:46 AM »
If anyone has any luck with this, please post.  Specifically looking at 96101 & 96102
Regina

PMRNC

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Re: PSYCH TESTING
« Reply #3 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.
Linda Walker
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rdmoore2003

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Re: PSYCH TESTING
« Reply #4 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?
Regina