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Old 02-26-2009, 01:11 PM
srswenson srswenson is offline
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Default 2 hour therapy appt

We have a provider that informed us she spent 2 hours in an outpatient therapy session with a patient. The 90808 is 75-80 minutes. Does anyone know what to bill to get the maximum reimbursement for this 120 minute therapy session? The patient insurance is a commercial plan. Thanks for your help!
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Old 02-27-2009, 07:24 AM
kevbshields kevbshields is offline
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Can relate what provider type she is? That'll help in code recommendations.
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Old 02-27-2009, 08:09 AM
srswenson srswenson is offline
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She is an LMHP...Thanks.
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Old 03-02-2009, 09:50 AM
1073358 1073358 is offline
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Does the documentation for that visit support the medical necessity of a visit that length? If there was good reason and the notes reflect it, maybe you can bill a 90808-22. I have never tried this before, but maybe worth a shot.
You have to bill the code that best reflects what the provider did, not just the one that gets paid the most.
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