Medical Billing Forum
Billing => Billing => : maternalone October 31, 2015, 06:52:36 PM
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Hi there,
Can anyone point me in the right direction as to how, if possible, to bill for an Individual Session (90837) and a Group Session (90853) for the same patient on the same day. This for outpatient in office mental health with an LCSW. Your assistance would be greatly appreciated.
Thank you.
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Is it the same provider doing both?
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You can bill them both on the same date, the question is whether or not the insurance plan will allow them both. It will depend on the plan. If they deny you can try to appeal but there is no guarantee that they will reimburse for both on the same day.
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Thank you Michelle. I have tried to explain this to my providers. It's nice to have it come from someone of much more experience and greater all around knowledge. Again, thank you.
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If the same provider is doing both, insurance will not cover.
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Even if there were different providers, even different groups most plans will not pay for two visits on the same day. Only time I've been able to get billed for two sessions if for crisis using crisis codes. Even still need authorization.