Coding > Coding
2013 mental health codes
rdmoore2003:
I just received my 2013 cpt book. I am confused a bit. For mental health codes, it has listed that 90834 is psychotherapy 45 minutes with patient and/or family member. Now, it shows that 90846 and 90847 are still active codes which is family therapy with and without patient present. what is the difference between a 90834 and 90846/90847?
PMRNC:
--- Quote --- what is the difference between a 90834 and 90846/90847?
--- End quote ---
90834 is the new CPT for interactive (time with patient present) therapy 45 min and 90846/90847 is for family psychotherapy w/w/out patient
rdmoore2003:
just trying to figure things out on new codes. let me know if I am at least on the right track, please.
provider sees an established patient for a medication check visit for 10 minutes without psychotherapy- old code billed was 90862- new code just 99212 since no psychotherapy?
provider sees established patient for medication visit with minimal psychotherapy for 30 minutes- old code billed was 90805- new code billed is 99214 + 90833? (99214 descriptions is 25 minutes whereas 90833 is described as 30 minutes?
Is this about right, Linda?
PMRNC:
A 90862 should have never been used for a simple med check only .. 90862 was for a medcheck WITH MINIMAL psychotherapy. The HCPCS code M0064 should have been used for simple med check NO therapy.
--- Quote ---provider sees established patient for medication visit with minimal psychotherapy for 30 minutes- old code billed was 90805- new code billed is 99214 + 90833? (99214 descriptions is 25 minutes whereas 90833 is described as 30 minutes?
--- End quote ---
That sounds correct, assuming all elements of the 99214 or any E/M used meets all documentation/criteria.
rdmoore2003:
do you think we will have to use modifiers?
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