General Category > General Questions

Basic Physician Billing Question

(1/3) > >>

laurahartman:
Hi, I know DME billing as used to be a provider. I'm helping a friend with a new business and have a very basic question. For the CPT codes 99201-99215 for office visits, when submitting to Medicare, (assume same city) but different specialty, is the reimbursement the same? Or does Medicare "look at" the NPI/Taxonomy and pay more/adjust for specialties. For example private pay office visits for cardiologist is more than for PCP. Thanks so much!!!! I love this forum, read it all the time!

Sriram_Sub:
Hi Laura! If it is same city, the rates for those office visit codes will not vary based on the specialty of the provider. It is standard across all type of providers.

laurahartman:
Thanks so much! Wow, surprising though.

Laura

Patricia Moore:
Hi, do anyone know if cpt code 90806, psych trmnt can be billed both on UB04 and 1500? We bill for facility charges as well as physician charges. The physician charges get paid, but facility charges are denied.

PMRNC:
What kind of facility? the 90806 is a professional service code to be billed on CMS 1500. Not sure about facility since it's an office visit code technically.. I suppose it depends on what kind of facility.

Navigation

[0] Message Index

[#] Next page