Wiki Billing Primary Care E/M and LICSW same day

[sstephens000]

We are integrating a new LISCW in our Pediatric Practice, and we don’t have any experience in billing for a Behavior Health Specialist. Both provider and LISCW are billed with the same group TIN. I have a pretty good handle on psychotherapy coding in general, however, I do have questions regarding billing when a patient has an office visit with a primary care provider (not psychiatrist), but also has psychotherapy with the LISCW in the same day? I know the add-on codes 90833, 90836, and 90838 are used with E/M, but is this only when a Psychiatrist provides the E/M and psychotherapy? Is there a way to bill for both Primary Care and LISCW?

 

[ichoy1012]

For the primary care MD, bill out only for the E/M. For the LICSW, bill out either 90832, 90834, or 90837 depending on the time spent with the patient.