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»
Coding
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Coding
(Moderators:
Alice Scott
,
Michele
) »
Help in coding Neuropsychological testing or 96116
Poll
Medicare patient is being referred by another psychologist for Mental status exam (96116). Can we use 90791 and 96116 or just bill 96116?
Only bill 96116
0 (0%)
Or 90791 & 96116
1 (100%)
Total Members Voted:
1
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Topic: Help in coding Neuropsychological testing or 96116 (Read 5468 times)
Char21
Newbie
Posts: 5
Help in coding Neuropsychological testing or 96116
«
on:
July 13, 2015, 01:54:23 AM »
As stated above the patient is being referred by another psychologist who has already billed the 90791. We need to do the Mental Status exam by a psychologist, can we just bill the 96116 without the 90791 being charged again to this patient?
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rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Re: Help in coding Neuropsychological testing or 96116
«
Reply #1 on:
July 14, 2015, 07:55:32 PM »
the 90791 is for psychiatric diagnostic evaluation. 96116 is neurobehavioral status exam, per hour of the psychologists time, both face-to face time with the patient and time interpreting test results and preparing the report.
i would say that if a different psychologist just doing a diagnostic eval, then use 90791. Have you received the initial exam from the first psychologist? How long has it been since the initial one was done?
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Char21
Newbie
Posts: 5
Re: Help in coding Neuropsychological testing or 96116
«
Reply #2 on:
July 15, 2015, 02:16:23 AM »
Thank you Regina: it has only been a week for the first psychologist and the dxs would be the same for both. I am going to bill 96116 and we will see.
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rdmoore2003
Hero Member
Posts: 631
Live Life and Love God
Re: Help in coding Neuropsychological testing or 96116
«
Reply #3 on:
July 16, 2015, 06:55:57 PM »
If you are doing only the mental status and no testing, I would not use the 96116, due to the guidelines.
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Re: Help in coding Neuropsychological testing or 96116
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Help in coding Neuropsychological testing or 96116