Coding > Coding
2013 mental health codes
PMRNC:
It's just going to be on a separate line item.
Angie:
So if his charge for 90819 is $220 he is going to have to split his charges out now?
90819 one charge and 90836 a different charge?
Because as of now his 90819 for $220 is for both psychotherapy w/ E/M......
Angie:
So if his charge for 90819 is $220 he is going to have to split his charges out now?
90819 one charge and 90836 a different charge?
Because as of now his 90819 for $220 is for both psychotherapy w/ E/M......
PMRNC:
With psychiatry, remember that physicians (prescribers/MD) have always been able to bill an E/M code as long as the documentation supported all elements of that E/M code. For 2013 they took away the 90862 (med management) and instead physicians will bill the appropriate E/M code : 99204-99215 (outpatient) 99222-99233 (Inpatient)
90819 will cross walk to 90836 (45 min psychotherapy) NOW if the physician is billing medication management they will use the appropriate E/M code, making sure that documentation supports all the elements of that E/M code. It's important to note that the E/M you are using is not selected based on time because your psychotherapy code (90836, in this case) is based on 60 min.
Now if your provider is ONLY providing medication management (NO THERAPY AT ALL) previously this was HCPCS code of M0064 (MED mgmt services only) That will then say you can use the appropriate E/M code as long as documentation is there to show the elements of that E/M
As for the use of modifiers you will follow the same guidelines as always when appending the appropriate and needed modifier to the E/M. It looks confusing because many psychiatrists never really knew they COULD use E/M codes before but really all that has changed is the addition of therapy and breaking out the therapy FROM the med management. If your provider is ONLY doing therapy they will ONLY use the Therapy codes.
Angie:
Thanks Linda. Still a little confused on the whole E/M because he never really used them before so I will do some further research into that. He has always just used the same codes 90819 coding family.......
What is the difference in the new CPT coding book from the professional or standard? Is there a difference in the one you purchase?
Navigation
[0] Message Index
[#] Next page
[*] Previous page
Go to full version