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billing two patients in same psych session

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camedbill:
Can you bill therapy & med management for 2 siblings who were seen in same session? 
(ie. bill 99213 & 90836 for each patient who was seen together)
Thanks in advance for your help

Merry:
Hope Linda sees this. She probably knows.

Michele:
Was it a group/family session?  Or were they seen individually but just in the room together?  I have taken two of my children to the dr at the same time.  We all go in one exam room, but both are seen and insurance is billed for two individual visits.  Dr addresses one child's issue and then the other.  It is the same as two individual appointments it's just that because we are a family we are seen in the same exam room.  Is that the case in your question?

PMRNC:

--- Quote ---Can you bill therapy & med management for 2 siblings who were seen in same session?
(ie. bill 99213 & 90836 for each patient who was seen together)
Thanks in advance for your help
--- End quote ---

Are both patients? If so I'm thinking this isn't just a billinq question, I would think it a bit unethical to do E/M on 2 patients at same time? I think you should take a look at the family psychotherapy code's but I just can't see doing two E/M at once.. did you have to obtain an auth?

Billing2:

--- Quote from: camedbill on January 14, 2014, 04:47:01 PM ---Can you bill therapy & med management for 2 siblings who were seen in same session? 
(ie. bill 99213 & 90836 for each patient who was seen together)
Thanks in advance for your help

--- End quote ---

You can if your provider has good documentation showing each one had there  E/M code time and then 90836. We have a parent come in like this, we book the provider for one hour. Sometimes it's much easier then the parent coming two different times, or leaving one kid in the waiting room. Then the office staff become babysitters.

You would not bill a 90847 family therapy because it's not family, just sharing the room and making it easier for the parent's and most of all the office staff.

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