2 90801 with in same practice

monalisa

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I was wondering if you can bill a 90801 for the same pt within the same group. This was within 2 months of each other. One provider is a CNS who handles the meds and the other is Psychologist who did another evaluation.
My understanding is that the 90801 code be treated as a new pt thing and the 2nd provider who seen the pt in the group should be going off her evaluation or am I way off?
I also think the CNS should be billing an 99404 which is a med management Diagnostic Eval per MA Medicaid MBHP plan, per there fee schedule.
Any help would be appreciated.
Thanks
MonaLisa
 
both providers are different specialty therefore can both bill it. Especially after 2 months. Alot can change in that time with a psych patient
 
We bill a new 90801 for the same patient if there is a minimum time gap of 6 months or for a lesser time gap if this second evaluation is for severe exacerbation of the psychiatric illness
 
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