96136/96137 confusion

metzger130

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I am just starting to bill for a psychologist and am confused about the codes. They do testing 3 days for 2 hours a piece. How do they report the dates? Do they report on 2/5: 96136, 96137 X3, 2/12 96137 x4, 2/19 96137 X4 or do they just report everything under 2/19: 96136, 96137 X 11?

Since the physician sees the patient a week after the testing to go over the results for one hour we would bill out the 96132/96130 (depending on which type they are doing) and then bill 96131/96133 for each hour of selecting the tests, writing the report, etc outside of the patient being seen face to face, correct?

Thank you for the help, this is very confusing to get into.
Rob
 

plbarber

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Biller

When services are spread over multiple visits, all codes are billed together on the last DOS when all work is complete.

https://www.apaservices.org/practice/reimbursement/health-codes/testing-code-faq.pdf
I have a dumb question...The above statement is open to interpretation.
If you wait and bill the parent code (96132) and the add on code (96133) at the feedback appt. do you bill one DOS for both encounters even though the testing was done on one date and feedback appt was done two weeks later? Or do you bill one claim with separate line items for each DOS?
 
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I'm getting claims rejected when I use multiple units, I tried again and got rejections if I used modifiers instead. All claims stating 'duplicate services' -
Thoughts? Suggestions?
(ie 96136, and 96137(3) OR 96136 and 96137, 96137,59)
 

shanamarie

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I'm getting claims rejected when I use multiple units, I tried again and got rejections if I used modifiers instead. All claims stating 'duplicate services' -
Thoughts? Suggestions?
(ie 96136, and 96137(3) OR 96136 and 96137, 96137,59)
What else is being billed on that date of service?
 
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