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Medicare
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Topic: Medicare (Read 4974 times)
rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Medicare
«
on:
March 26, 2014, 05:23:42 PM »
Does anyone have information or a link to Medicare in regards to hypnotherapy?
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rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Re: Medicare
«
Reply #1 on:
March 26, 2014, 05:25:56 PM »
Merry,
Is this something new? I show that they do cover, I even have the allowed amount from Medicare. I just want to see if the code is dx specific.
«
Last Edit: March 26, 2014, 05:49:58 PM by rdmoore2003
»
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HeidiK
Newbie
Posts: 44
Re: Medicare
«
Reply #2 on:
March 26, 2014, 06:22:48 PM »
Hello!
I looked up hypnotherapy on cms.gov and found it is a covered service and following is the language from one of the LCD's I was able to pull. The entire determination should be reviewed as it is state/carrier specific and may have been updated since 2009.
http://apps.ngsmedicare.com/lcd/LCD_L26895.htm
B. Description: Code 90880 is described as hypnotherapy. Hypnosis is an artificially induced alteration of consciousness in which the patient is in a state of increased suggestibility.
Documentation: Claims must be submitted with a covered diagnosis.
Comments: Hypnosis may be used for diagnostic or therapeutic purposes. Medicare will cover hypnotherapy for the following diagnoses:
300.11 Conversion disorder
300.12 Dissociative amnesia
300.13 Dissociative fugue
300.14 Dissociative identity disorder
300.15 Dissociative disorder or reaction, unspecified
300.21 Agoraphobia with panic disorder
300.22 Agoraphobia without mention of panic attacks
300.23 Social phobia
300.29 Other isolated or specific phobias
307.80 Psychogenic pain, site unspecified
308.3 Other acute reaction to stress
308.4 Mixed disorders as reaction to stress
308.9 Unspecified acute reaction to stress
309.0 Brief depressive reaction
309.1 Prolonged depressive reaction
309.21 Separation anxiety disorder
309.24 Adjustment disorder with anxiety
309.28 Adjustment disorder with mixed anxiety and depressed mood
309.3 Adjustment disorder with disturbance of conduct
309.4 Adjustment disorder with mixed disturbance of emotions and conduct
309.81 Posttraumatic stress disorder
Hope this gets you in the right direction!
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Heidi Kollmorgen, CCS-P
AHIMA Approved ICD-10 Trainer
hdmedicalcoding.com
rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Re: Medicare
«
Reply #3 on:
March 27, 2014, 11:19:04 AM »
thanks Heidi!
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Merry
Sr. Member
Posts: 362
Re: Medicare
«
Reply #4 on:
March 27, 2014, 01:26:29 PM »
Interesting feedback. I just had a client get denied for submitting claims for this. Ok time to research more as it may have been a LCD or not the appropriate dx. They were told it
wasnt a covered benefit. Guess I should have checked the diagnosis
that was submitted. I removed my post where I said it wasn't covered.
Thx all
.time to research
«
Last Edit: March 27, 2014, 01:31:20 PM by Merry
»
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Medical Billing Forum
Re: Medicare
«
Reply #4 on:
March 27, 2014, 01:26:29 PM »
HeidiK
Newbie
Posts: 44
Re: Medicare
«
Reply #5 on:
March 27, 2014, 01:43:03 PM »
Always be sure to check your specific state/carrier guidelines for exact coverage details!
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Heidi Kollmorgen, CCS-P
AHIMA Approved ICD-10 Trainer
hdmedicalcoding.com
PMRNC
Hero Member
Posts: 4562
Re: Medicare
«
Reply #6 on:
March 27, 2014, 04:18:24 PM »
Wow talk about learning something new..
I'm literally shocked they cover hypnotherapy.
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Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com
Michele
Administrator
Hero Member
Posts: 5927
Re: Medicare
«
Reply #7 on:
March 28, 2014, 11:29:27 AM »
My first thought was "Hypnotherapy isn't covered". I was surprised too.
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rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Re: Medicare
«
Reply #8 on:
March 31, 2014, 07:41:48 PM »
I knew that they covered with dx of ptsd. Just wasnt sure on any other dx's. thanks again Heidi.
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Medical Billing Forum
Re: Medicare
«
Reply #8 on:
March 31, 2014, 07:41:48 PM »
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Medical Billing Forum
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Medicare