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add on codes

  1. M

    Wiki E/M Modifier 25

    Hi, I’m auditing BH for Virginia Medicaid. I’m reviewing BH providers who bill for med management as 99214/99215 and add-on codes for psychotherapy as 90936/90837. My question is on whether modifier 25 is needed on the E/M codes when billing the psychotherapy add-ons? One provider is using it...
  2. D

    Wiki D0145 with a well-child check

    Hi, looking for some direction in coding for a dental exam within a child's well check. My physician would like to bill code D0145 during a well check for a child under 3. Notes in the chart indicate: "The child's mouth was inspected. Teeth were dried and a thin layer of 5% sodium fluoride...
  3. M

    Wiki 90792 + 90833 Illinois

    Hi Everyone, I am in Illinois billing/coding for a BH practice. I have a therapist that is using these two codes together but we had to explain that it isn’t a compatible add-on code. I explained that the only add-on that want can be use is the interactive complexity code but it’s only for...
  4. A

    Wiki Extended Group therapy Code?

    Hello, I just started a new job at a Behavioral Health Organization. I have been trying to help them improve upon their coding. One thing I haven't been able to find, is a good code to use for 2 hour group therapy session. It is not family members, groups are around 10 people, and they are...
    • Arnkpc
    • Thread
    • 90853 add on codes behavioral health group therapy
    • Replies: 3
    • Forum: Behavioral Health
  5. M

    Wiki Denial of primary code when billed with +add on code

    Is anyone experiencing denials for the payment of a primary procedure, but receiving payment on the +add on code. Ex: 14301, 14302? This is Palmetto GBA in GA.
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