Coding > Coding
2013 mental health codes
PMRNC:
--- Quote ---Just curious does anyone know if you bill a 99213, 99214 or 99215 by themselves, are they considered the old Med management codes as in they are not usually counted against a patients therapy visit limit?
--- End quote ---
If your psychiatrist used to bill a 90862 for med management with minimal therapy, they would indeed use one of the above E/M codes (documentation should support the code) in substitution of the old 90862. Now if your provider in the past ONLY did quick med checks NO THERAPY.. they should have been using M0064. You do not get to use the therapy add on codes with the E/M unless there is psychotherapy being done with the med management.
--- Quote --- Or are they considered a therapy visit used with the add-on codes? If billing a 99 code w/an add on code does that make it a therapy visit and it goes against a patient's therapy visit limit?
--- End quote ---
You are only going to use the add on therapy codes with the E/M in cases where provider is doing any medical service (physical, med mgmt) AND psychotherapy.
--- Quote ---Also the 90837 replaces the 90808, did the 90808 require a special authorization from insurances & if yes, will the 90837 now require a special authorization too?
--- End quote ---
That is carrier specific, the carrier will determine authorization procedures.
Buglet10:
I have Mass BC/BS form here explaining new codes and they state 90834 is Psychotherapy 45 mins. with patient and/or family member. No explanation of 90847 assuming still family but where is the breakdown if you can bill either now with family member. Medicare breakdown 90834 Psytx if pt and or family member. 90847 family psytx w/ pt. Doesn't that seem like you can use either? Makes no sense.
I usually bill 90834 if just pt or just parent talking about pt. I use 90847 when the family is in the session for any period of time. Be interested in finding out what others re doing.
Coffeecat21:
How do I code a 1/2 session (25min.) for 90847? There are no time ranges for family therapy w/patient.
PMRNC:
You might be out of luck... Your 90804 became a 90832 (30 min).. You are going to to need to counsel your client to complete the full 30 min.. That's actually ONE of the reasons the codes were changed.
rdmoore2003:
90832 Code shows a range from 16-37 minutes.
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