atheri992
Contributor
If the LCSW who is credentialed to bill for 96150-96154 sees the patient individually for assessment for 45 minutes, and immediately following does the intervention with the patient and family for 30 minutes, how does that bill? When I put in 96150 X3 (each 15 minute increment) and then 96154 X2, I get a Medicare edit saying it will bundle them and pay only for the 96150 codes? The rules also say it will deny any 96150 codes above the quantity of 4 and no more unless other documentation gets reviewed. Am I supposed to use a modifier instead? Please and thank you for any input!