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!!!