• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

2 hour therapy appt

S

srswenson

Contributor
Messages
11
Location
Valparaiso, NE
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!
 
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.
 
You must log in or register to reply here.
Top