If a provider documents an E/M with an add on therapy e.g 99204 and 90833 and then changes their mind and wants to bill a 90792 instead can that be billed even though a therapy was documented? I know we cant bill add on therapies with 90792. Documentation supports a 90792. My confusion is more about the therapy does it have to be billed because it was documented??
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Wiki 90792
- Thread starter judyarrubla@gmail.com
- Start date
SharonCollachi
Guest
If the principle service was the evaluation 90792, and the therapy was a minor service, you don't have to bill the therapy.
If you know that billing the therapy will make everything deny, you don't have to bill the therapy.
If you know that an eval and a therapy is not covered on the same day, you should have an internal policy on whether to bill that or not.
If you know that billing the therapy will make everything deny, you don't have to bill the therapy.
If you know that an eval and a therapy is not covered on the same day, you should have an internal policy on whether to bill that or not.