Coding > Coding
2011 CPT codes for Medicare
rdmoore2003:
Leslie, where are you located? I work for a medical psychologist and can help with anything you need.
Leslie Bartley:
I'm in Shreveport, LA. We will submit our billing electronically to Pinnacle Business Solutions in Little Rock, AR. We are a CMHC, partial hospitalization program (stand alone). We are only setup to service Medicare clients.
We have been handicapped as our CPT coding book hasn't arrived and we are not sure what we should be billing and when. I just learned that food and transportation costs could not be billed.
Is there a publication which outlines what mental health procedures and services are billable? Could you give me the CRT codes for each of the following if they are billable?
In addition to the above questions, here are a few more.
1. Do we bill separately for doing the initial intake interview and paperwork, before the Psychiatrist sees the client?
2. Do we bill separately for testing, such as the Burn's Anxiety Inventory, the Burn's Depression Checklist, the Rosenberg Self-Esteem Scale, personality tests, etc.?
3. Do we bill separately for writing a report on each test?
4. Do we bill separately for developing a Master Treatment Plan and each 30 days a Treatment Plan Review?
5. When the Psychiatrist does a 30 day re-certification evaluation what code would we use. We were told that the initial certification is a one time billing.
Thank You so Much for your offer to help.
Blessings,
Leslie E. Bartley, Ph.D.
Michele:
Box 43 on the UB04 is for the description, if you are billing on a CMS you could try putting it in box 19.
Questions 1-4 I would think would be part of the room & board charges for the partial hospitalization.
Question 5 - the psychiatrist could charge an E&M visit (99211-99215) or a therapy visit (90804-90808).
Leslie Bartley:
I'm not grasping the "room and board" concept. Are you saying that writing the Master Treatment Plan is part of coding 90801? Writing the Master Treatment Plan is developed by the counseling staff after the Psychiatrist provides her diagnosis.
Writing the Treatment Plan Review is done by the counseling staff each 30 days after the 90801 for the Psychiatrist to do a 90807. Is this considered part of the 90807?
Are their codes for when the nurse takes patient's vital statistics - blood pressure, sugar, weight, etc.?
Thanks for your help.
Leslie E. Bartley, Ph.D.
Michele:
As a partial hospitalization program are the patients staying at the facility? If so, don't you have a room & board charge? Or are they just receiving outpatient services and there is no facility fee?
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