• 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..

Group Therapy vs Individual session

B

BROUTLEDGE

Contributor
Messages
11
Location
Jones, OK
Can anyone help with this issue: When there is a Depression and Anxiety group session but only one patient shows up, the provider still has the group session, Do I still bill 90853? or do I find another code for there is no master treatment plan for this group session.
Thanks
Brandi
 
Okay, I'll put on my auditor hat on this one. The provider can only bill what was performed. The provider did not perform group therapy...only one patient was present. The therapist should have treatment plans in place for each individual in the group. If not, then they can't bill for it.

Just my opinion. I'd love to hear what other's think on this issue.
Willie
 
I can't find the documentation right at the moment, but I know I read somewhere that there have to be at least 3 patients have to be present to bill a 90853.
 
You must log in or register to reply here.
Top