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Psychiatrist billing e/m to Medicare

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EBurleyStill:
Hi,
Thanks for the update.  The dx codes I've been given to use are: F902, F331, F332, F4310, F209, F3162 & F341.

I would like to get one more answer from you all so I can send the Doc an email asking whether he is providing therapy along with the e/m code & just not letting me know. 

Detailed questions seem to unnerve him so I want to be as concise as possible.

Thanks so much!

PMRNC:
I'm assuming those diagnosis are not all on one claim? Can you break them out by E/M with diagnosis for each claim?
Also to better understand the denial for the E/M only (I'm stumped on the eval) you may need to contact Medicare to get further clarification of the denial. I think you also want to have the notes to be sure the appropriate level E/M is being used.

Another thing you could check are past claims for your 99213 and 99214 on same patient's. Go into the account and see how other claims are being billed and paid. I'm not seeing where a modifier would be needed at all. Some of diagnosis codes would be inconsistent if on same claim line but I think you were saying these are the diagnosis codes for all the denials together which is why It would be helpful to see them broken out. There is ONE other tiny thing...is the doctor using ICD-10 or DSM. I didn't look up all ones you posted but you want to make sure if billing Medcare he only uses ICD-10 as there are some differences (mainly with the more severe diagnosis)

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