Coding > Coding
2013 mental health codes
rdmoore2003:
--- Quote from: PMRNC on November 29, 2012, 07:03:56 PM ---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]
sorry, I got my with and withouts messed up.
--- End quote ---
Michele:
Modifiers for what?
rdmoore2003:
modifiers for the 99214 & add on code of 90833. or will this be a bundled package
Michele:
Are you billing for a psychiatrist who is doing medication management and also psychotherapy? If so then you may want to look at the 25 modifier to indicate the E&M, 99214, is separate from the psychotherapy. If you are billing for a psychologist or LCSW I don't believe the 99214 & 90833 would be appropriate together.
PMRNC:
--- Quote --- If so then you may want to look at the 25 modifier to indicate the E&M, 99214, is separate from the psychotherapy.
--- End quote ---
Why would a modifier be needed? The 90862 is being replaced with the appropriate E/M code for prescribers. If there is NO therapy involved they need only bill the appropriate E/M code, however if they are doing therapy they will use the E/M code along with the new add appropriate add-on code for therapy.
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