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PSYCH TESTING

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rdmoore2003:
Has anyone had any success with Medicare when coding for 96101 and 96102 in the same day for same patient?  They updated information in June 2015 to cover but I personally have had no luck, nor anyone that I know.

Michele:
I have not billed both codes together.  :(

rdmoore2003:
If anyone has any luck with this, please post.  Specifically looking at 96101 & 96102

PMRNC:
Generally carriers will not pay for these tests on one day. Best to have patient come back for different session. Most won't even authorize both for same day.

rdmoore2003:

--- Quote from: PMRNC on September 29, 2015, 01:23:06 PM ---Generally carriers will not pay for these tests on one day. Best to have patient come back for different session. Most won't even authorize both for same day.

--- End quote ---


I agree Linda.   I did find documentation that Medicare updated in June 2015 stating they will cover the 96101 and 96102, along with other codes, on the same day.  However, I do not know of anyone that has had success in this and of course Medicare will not elaborate on how they require the codes to be sent, ex:  will they require a modifier?

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