Coding > Coding

Group Therapy

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TammyL:
I have a client who  is a  psychlogists has started substance abuse group therapy what codes do I use to bill the insurance companys and how do I bill would it be on a HCFA 1500

James B:
The Dr. who I work for bills SA groups as 90853, although this probably just changed with the new mental health billing system (I haven't billed any 2013 appointments, yet). What you need is whatever code replaced that one. Actually, I just looked it up and it appears that code has been retained.

This is for a psychiatrist, I imagine it may be different for other types of therapists.

Hope that helps.

-James

rdmoore2003:
group therapy codes did stay the same.  90853 would be billed.   if it is a professional charge, you would use cms 1500 form, if facility use UB94

TammyL:
Okay do I bill each patient seperate with the CPT code 90853 to there insurance companies even though it was a group. Never billed group therapy so this is all new to me. Thanks

supertaz93:

--- Quote from: TammyL on January 10, 2013, 08:50:42 PM ---Okay do I bill each patient seperate with the CPT code 90853 to there insurance companies even though it was a group. Never billed group therapy so this is all new to me. Thanks

--- End quote ---

Yes, the reimbursement rate for this code is much lower than other psych codes for this reason.

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