Question 90791/90792 Evaluation as Opposed to Outpatient 99205

tamstrnd

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Can someone please tell me if I can use Outpatient E/M 99205 as opposed to 90791/90792 Evaluation Codes?

Your help and time is greatly appreciated!

Tammy
 

ckeeney

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South Bend Indiana
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Generally 90791 is used by therapists because it does not include medical management as a component of the service. Therapists cannot bill 99205 or 90792. It is harder to know when to use 99205 or 90792 since recommended documentation for the 90792 is similar to a 99205/99215; you would have to look at the documentation guidelines to see which is more appropriate. The medical providers where I work do not use the 99205 or 99215 for the initial outpatient visit.
 
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