Medical Billing Forum
Coding => Coding => : lgrone March 15, 2013, 03:20:17 PM
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I have a provider that wants to bill 2 units for 90834, for a 90 min session and also 2 units for a 2 hour session for 90847, different day. They both have a MUE of 1, so I would assume they would be denied by the payer if two units are billed. Would it be appropriate to to bill 90834, twice with a 59 modifier on one. Also instead of 90847-2 units, would it be appropriate to bill either 90834 or 90837 AND 90847 same day, since 90834 can include family member. Any thoughts on this?
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I believe they will deny. The 90834 states it is for 45 minutes. Unless the patient came in for 2 separate 45 minutes sessions it would not be appropriate. And even two separate sessions are not usually allowed. There is a code for 60 minutes (90837) and otherwise the next thing would be crisis counseling.