• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Coding for group/individual sessions at a substance abuse facility

G

gryphonkessira

Guest
Messages
2
I have just recently started a job at a substance abuse facility. We offer both group sessions (billed under 90853, lasting approximately 1.5 hours) and one-on-one sessions (billed under 90804 and 90806, lasting between 30 minutes and an hour). If a patient comes in and has both a group session and a one-on-one session in the same day we bill only for the group session. It seems to me there should be some modifier to allow for billing of both services, much like the -25 modifier for E/m. When I asked, none of the other staff (none of whom have any coding background) could help me. Due to the nature of our treatment, 95% of our clients are billed to medicaid/managed medicaid, if that has any effect on the issue. Is there a way to bill for both services?
 
You must log in or register to reply here.
Top