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mental health

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rdmoore2003:
I have a LPC intern that will fall under supervision with our Medical Psychologist.  My question is, Is there a modifer that is required for medicare on therapy codes like 90834 and 90837?

Michele:
So the billing is going out under the supervising psychologist?  I am not 100% sure but I thought that when the LPC was an intern the billing could go out under the supervising doctor as long as all of the supervising criteria was met.  I didn't think there was a modifier.  Hoping someone else knows for sure!

rdmoore2003:
I THOUGHT THAT AS WELL, MICHELLE.   I WAS READING SOMETHING ABOUT IT, BUT I COULD HAVE MISUNDERSTOOD.
IF YOU HAVE AN ACTUAL LPC (LICENSED) IS THERE A MODIFIER FOR THIS AS WELL SINCE MEDICARE DOES NOT COVER LPC'S?   THEY STILL FALL UNDER THE SUPERVISION OF THE MEDICAL PSYCHOLOGIST RIGHT? OR IS THERE A MODIFIER FOR THEM ON THE CPT CODE?

Michele:
I am not aware of any modifier for this.

PMRNC:
I don't think you can bill Medicare even under supervision since they do not cover LPC's.

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