Lcsw & lpcc

sherriev

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Local Chapter Officer
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Owensboro, KY
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Hi everyone! I need some advice. I've been coding for a Behavioral office for 5 years. During that time we only employed Psychiatrists and Psychiatric Nurse Practitioners. In the last few months, we've hired LCSWs and LPCCs. If a patient sees either the LCSW or LPCC first and later sees a Psychiatrist, is the patient considered new for the Psychiatrist? All are employed by the same clinic and billed under the same tax ID number. Thanks!
 

Pam Brooks

True Blue
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NAB Member
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South Berwick, ME
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If you bill an E&M for the psychiatrist, you can bill a new patient visit; the social workers are a different specialty, and also will not be billing out E&M services (they bill from the counseling codes in the medicine section).

Same with APRNs; even if they are psych APRNs, they are a different specialty (and level of provider) than the MD psychiatrist. Both could bill out NP visits for the same patient at their first encounter. The only instance you would have a problem is if you are billing incident-to the MD. Then you get only one new patient visit. The APRN would need to bill under their own NPI.
 
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