Help! 90887

t_ferg07@yahoo.com

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Louisville, KY
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I'm new to billing for a pyschiatrist and am needing some input on 90887. Typically, my doctor will bill 90862 for med management and sometimes add 90887 depending on the patient's condition/age. I cannot get 90887 paid by Medicare! Am I missing a modifier or is this a service they do not cover? How I read the descrpition of the code, I cannot determine if the patient is present or not. I also have a situation where that is the only code she is billing on this date of service and they still denied it! Help please!!!
 

MJ4ever

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Temple, TX
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I found the answer. You won't get paid by Medicare because it is a non-covered service. This seems unfair...
Check out this link to Psychiatric coding for Medicare Part B on page 38
http://www.trailblazerhealth.com/Publications/Training Manual/PsychiatricServices.pdf

MEDICARE PART B
Psychiatric Services
Rev. 10/2011 38 Psychiatric Therapeutic Services
Other Non-Covered Services
90885© Psy evaluation of records
90887© Consultation with family
90889© Preparation of report
Reimbursement for CPT codes 90885, 90887 and 90889 is bundled into that of other services. These codes should not be billed separately.
 

t_ferg07@yahoo.com

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Louisville, KY
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Thank you so much for the info!! I also think it's HIGHLY unfair that MCR takes a Psych Reduction on these psychiatric services as well. However, apparently this is trying to be phased out over the next four years. Thanks again!
 
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