Coding > Coding
Group Therapy
PMRNC:
There really is no option.. 90853 is not going to get paid by units and only reimbursed by CPT which most carriers base on 60 min. I have my providers shorten their sessions. You can try adding a modifier but I don't think it will fly. You could also try to obtain authorization for a 90 min session PER patient. I've done that but again, they won't reimburse over the maximum for the CPT code 90853
rdmoore2003:
--- Quote from: PMRNC on March 05, 2013, 05:53:55 PM ---There really is no option.. 90853 is not going to get paid by units and only reimbursed by CPT which most carriers base on 60 min. I have my providers shorten their sessions. You can try adding a modifier but I don't think it will fly. You could also try to obtain authorization for a 90 min session PER patient. I've done that but again, they won't reimburse over the maximum for the CPT code 90853
--- End quote ---
Exactly what Linda said.
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