Wiki Coding 90801 and 96101

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dokeef01

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I have a question regarding billing of diagnostic interviews. It states that it includes laboratory and other medical studies and their interpretations. Can a provider bill for the 90801 and then bill for the psychological testing 96101 on the same date of service? Can a provider bill separately from the 90801 for the interpretation of the psych testing if performed by a tech or another provider? Is scoring a part of the 90801 or is it billed separately. If so, what code do they use.

Thanks,

Deborah
 
Yes, you can bill a 90801 and a testing code i.e 96101 or maybe 96102 or 96103 together. The time spent in interpreting and documenting test results is included in the testing code. I cant tell you a specific code because I dont have enough info to give a recommendation
 
So are you saying that if a tech performs the psych testing and a psychiatrist comes in and does the diagnostic interview, then that interpretation of the results (scoring) is NOT included in code 90801?

Thanks,

Deborah
 
srswenson said:
Our provider performs the 90801, then pt sees tech for 96101 (under supervision) and the provider bills for all testing, interpretation, and report writing (included in 96101).
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If a technicial is giving the tests, you should maybe look at using a 96102 which is for a tech. 96101 is for the dr, not the tech
 
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