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home visits

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rdmoore2003:
I have noticed that home visits are starting to come back.   Does anyone know if Blue Cross is reimbursing for home visits?   

Michele:
I think it will vary from plan to plan and state to state.  Personally I believe our local BC pays for home visits if the patient isn't able to travel to the office.

Michele

rdmoore2003:
ok, so for example:   if we have a bc client for therapy and is a chronic pain patient.   if covered by bc, and provider goes to the home for a therapy visit (mental health) for 45-50 minutes (90806), would i use this code and place of service as patient home?   the description of a 90806 is in office or non facility, is non facility concidered a person's home?
have I confused you yet?  I appreciate any help, and thanks michelle

PMRNC:
You have to call the carrier to establish medical necessity and then obtain an authorization, the mental health carriers that cover home visits will review on a case-by-case basis, I believe you will have to have the referring physicians information to show why the patient cannot travel to the office.

Michele:
But yes, if the therapy is approved, you would just use the 90806 with the place of service as 12.

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