Author Topic: Billing CPT 90837 with add on code 90863  (Read 464 times)

Anastajia

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Billing CPT 90837 with add on code 90863
« on: February 07, 2018, 07:20:44 PM »
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We have a prescribing psychologist in our office for years we billed BCBS (NM) cpt 90837 with add on code 90863.
They had paid just fine until January 2018 they reduced the payment amount on the add on code 90863 significantly.
Does anyone know of any changes?
Does any one out there bill these 2 codes, if so how are you billing them adding a modifier or anything?

Thanks

Michele

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Re: Billing CPT 90837 with add on code 90863
« Reply #1 on: February 07, 2018, 08:23:02 PM »
Is the provider contracted with BCBS?  Did he receive any notification of any changes?  I would call BCBS to ask for an explanation on why the payment amount changed from 2017 to 2018.
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Anastajia

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Re: Billing CPT 90837 with add on code 90863
« Reply #2 on: February 09, 2018, 08:37:35 PM »
Hi

Thank you, yes the provider is contracted and we did not get any notice of changes.
I did as you suggested and call the provider rep she said she would look into it.
But I was wondering if there is anyone out there that bills these two codes.
Is this how you bill them or is there a modifier needed now in 2018??

Thanks

Michele

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Re: Billing CPT 90837 with add on code 90863
« Reply #3 on: February 14, 2018, 11:40:16 AM »
We bill the 90837 but not the add on.  I'm not aware of a modifier needed.
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