Coding > Coding
2013 mental health codes
rdmoore2003:
Thank you. I participated in a webinar yesterday. 25 modifiers are not to be used since they are add on codes. What a mess!!
PMRNC:
I agree with Michele, this is biggest challenge for the prescribing NON psychiatrist, I suggest additional resources for him or her for eval and management. You will also want to create fee schedules for these codes. The use of modifier 25 however I'm still trying to find out because why would you need it when the mental health therapy codes are "add" on's and already show the medication management part of the E/M IN it billed along with a therapy code (Why the hell do they mess with stuff that works??)
As for M0064, that was a HCPCS only to be used for Psychiatrists who for NO other purpose saw patient regarding meds, maybe quick dosage check or adjustment, I don't believe it was ever payable to psychologists. They mainly created that code to prevent overcharging/fraud that mostly goes on for inpatient treatment and nursing home visits.
PMRNC:
--- Quote ---Thank you. I participated in a webinar yesterday. 25 modifiers are not to be used since they are add on codes. What a mess!!
--- End quote ---
I see you typed that before I finished my post :) I agree. .MESS. one of my clients did a mini meet with some colleages to which I sat in on and he said same thing.. don't need modifier 25. Modifier 25 was never used anyway to affect reimbursement so now that we have the add on codes for the E/M wouldn't need modifier 25.. YOU WOULD THINK.. however.. I took an online webinar class where they say it should be appended to the E/M :o :o :o :o I wrote to them and see what they say. I took a LOT of notes so I'm trying to find a way to upload them to our mental health area. As there is going to be MASS confusion.. especially for your psychologists who are not used to using E/M
rdmoore2003:
thanks Linda. Years ago, I transferred over to mental health with psychologists and LPC's to get away from E/M codes. Well, I enjoyed it while it lasted....
rdmoore2003:
I contacted my state workers compensation yesterday. It is a shame, that my state has not updated cpt codes since 2001. Why is it that state w/c does not have to follow same updates/laws as all others? They do not have any plans on updating for 2013 codes, either.
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