Question 96130 & 96131

PaulaLB

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I have a question in mental health billing 96130 & 96131. I know that 96131 is the add on code and I was told by an insurance rep that they must be billed for the same date of service. The office I bill for have one date of service for 96130 and another date of service for 96131, so what is the correct procedure for billing these CPT codes. The techs notes show the two separate dates for the service, therefore if I bill the two CPT for the same date of service is incorrect and fraudulent. I would appreciate any help with this issue. Thank you ahead of time.
 
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408
Location
Clovis, CA
Best answers
1
I have a question in mental health billing 96130 & 96131. I know that 96131 is the add on code and I was told by an insurance rep that they must be billed for the same date of service. The office I bill for have one date of service for 96130 and another date of service for 96131, so what is the correct procedure for billing these CPT codes. The techs notes show the two separate dates for the service, therefore if I bill the two CPT for the same date of service is incorrect and fraudulent. I would appreciate any help with this issue. Thank you ahead of time.
APA's answer.
 
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