Wiki 99213 with 90833

[veloso]

Hi All,
Happy New Year!
Need help Psych provider billing 99213 with 90833 Psychotherapy 18 minutes spent , please advise.

Thank you!

 

[haleyh]

Some psychiatric patients receive a medical evaluation and management (E/M) service on the same day as a psychotherapy service by the same physician or other qualified health care professional. To report both E/M and psychotherapy, the two services must be significant and separately identifiable. These services are reported by using codes specific for psychotherapy when performed with evaluation and management services (90833, 90836, 90838) as add-on codes to the evaluation and management service.

In reporting, choose the code closest to the actual time (ie, 16-37 minutes for 90832 and 90833, 38-52 minutes for 90834 and 90836, and 53 or more minutes for 90837 and 90838). Do not report psychotherapy of less than 16 minutes duration. (See instructions for the usage of time in the Introduction of the CPT® code set.)

 

[veloso]

Hi Haleyh,
Yes, the provider did medical E/M 99213 (with good PN) and bill also 90833 please see provider's notes below if acceptable?

Spent approx. 18 minutes on Counselling/brief psychotherapy done today. Regarding diagnostic impressions. The risks and benefits of treatment options. Risk factor reduction, importance of compliance with the chosen treatment plan, physical exercises, diet and nutrition and Prognosis.

Thank you!