-
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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki CPT Code 90863
- Thread starter mart1272
- Start date
pineapplelvr
Networker
from what I've found it says that it's not recognized by medicare for oupatient claims and it's status E-- non-allowed item or service
(it's also an add on code so it would have to go with 90832 etc for other insurances)
hope that helps
(it's also an add on code so it would have to go with 90832 etc for other insurances)
hope that helps
Is CPT Code 90863 covered by Medicare?
No, 90863 is Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services; used only as add-on to primary psychotherapy code (90832, 90834, 90837). This code was introduced to replace 90862 in January 2013, and is meant for Medical Psychologists, or Psychologists with prescriptive rights. Since Medical Psychologists are not universally recognized by payers, this is a way for them to get paid for their services. If they are recognized, the can use 99-codes, just like Psychiatrists, NPs and other mental health providers.
No, 90863 is Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services; used only as add-on to primary psychotherapy code (90832, 90834, 90837). This code was introduced to replace 90862 in January 2013, and is meant for Medical Psychologists, or Psychologists with prescriptive rights. Since Medical Psychologists are not universally recognized by payers, this is a way for them to get paid for their services. If they are recognized, the can use 99-codes, just like Psychiatrists, NPs and other mental health providers.
suemt
Expert
Can someone confirm that if a provider is 'managing psych meds' as part of either Transitional Care Management or E/M services, it is not separately billable?