Wiki Follow up for 96133/96132

jshue0715

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When the patient comes back in for their follow up to go over the results of the testing, how should this be coded? The 96133 is the follow up code but since it's an add on it needs to have a primary code. We were thinking the 96132 but have been advised that is only allowed once per year, then we thought maybe the 90791 but that also is only once per year and this is what our physician uses for their initial consult. Any idea on what to use for the follow up appt?
 
You do not bill 96130/96131 until the evaluation is completed, which would be the date the family returned for the results and recommendation (AKA feedback day). The provider should keep track of the time they spend integrating the information, interpreting the results, treatment planning etc (what is included in the code 96130/96131). Then on the date of the feedback you add that time with the family then bill the testing codes (96136/96137) as well as the test evaluation codes (96130/96131) for the total time using the feedback day as the DOS for all. Per CPT report the total time at the completion of the entire episode of evaluation.
 
You do not bill 96130/96131 until the evaluation is completed, which would be the date the family returned for the results and recommendation (AKA feedback day). The provider should keep track of the time they spend integrating the information, interpreting the results, treatment planning etc (what is included in the code 96130/96131). Then on the date of the feedback you add that time with the family then bill the testing codes (96136/96137) as well as the test evaluation codes (96130/96131) for the total time using the feedback day as the DOS for all. Per CPT report the total time at the completion of the entire episode of evaluation.
including the intake?? So bill all (collections of data, testing, evaluations and feedback) with the same DOS (feedback day) even if they were preformed on different days?!
 
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