90801 and 90802

[Stacyharter98]

Can these services be performed as inpatient or outpatient? Can they be billed with other e&m's?

 

[1073358]

They can be billed in or outpatient.

When you mean billed with other EM's, do you mean same provider same day?Please clarify

 

[Stacyharter98]

same provider on the same day

 

[becka95]

According to Medicare the codes are good for inpatient and outpatient. Medicare states that the codes can be substituted with E&M codes. This usually means that the E&M cannot be billed with these codes.

 

[1073358]

I can not think of a good reason why psych would bill a 90801 and an EM on same day. They really should hardly be billing EM's period. I would say no. Check CCI edits for sure, but gut says no.

 

[Stacyharter98]

They are intensivists so they would be admitting patients.

 

[1073358]

My thought is they should be billing the admit codes then and let the psychiatrists bill the psych evals 90801/2

 

[Stacyharter98]

Well they are psych intensivists I apologize I should have clarified that