Medical Billing Forum
Billing => Billing => : rdmoore2003 July 19, 2012, 05:09:46 PM
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HOW WOULD YOU CODE A FAMILY THERAPY FOR THE FOLLOWING SITUATION? FAMILY THAT LIVES OUT OF STATE BUT COMES TO THE AREA ONCE MONTHLY AND IS WANTING TO DO A HALF DAY OF FAMILY THERAPY EVERY MONTH THEY ARE IN THE AREA. ANY IDEAS?
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90847 Family Psychotherapy with patient Present
90846 without patient present
90849 Multiple-family group psychotherapy)
It's one of those and none of them are time dependent so You would charge however many units, for example if your fee is for 1 unit (1 hour) and you see them for 6 hours you would use that fee with 6 units. But I can guarantee you that you will only get reimbursement for ONE unit from insurance, they won't pay for multiple sessions on same day. Also you'll still want to get an authorization on file if needed but again, they will more than likely only approve one session. As a side note If that were my client, I would have to have them sign something if they want to pay out of pocket and I would need it to cover him for all of that time since it's time he could be seeing with other patients, a half a day seems a bit too much even if it is once a month.
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yes, I figured as much. thanks
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I actually came across this recently. The patient lives 4 hrs away but the provider is the closest to them in their specialty (also mental health). They are in the state of MN. Anyway, the insurance approved multiple sessions per day due to the drive. Try getting approval based on the situation.
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ok great thanks again