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group therapy 90853

Z

zanalee

Guru
Messages
111
Location
Los Alamitos CA
How many times in one can you code this code 90853? I have a provider telling me she can code it twice in day.
 
You code it once for each patient who is in the group, for their documented attendance at the group on that DOS.

Billing it multiple times in one day would be appropriate if a patient was in more than one group at a time, and if their payer's authorization allowed it as part of their treatment plan.
 
Definitely check with your payer. My experience has been that 90853 can only be billed once per day for a patient.
 
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