Wiki Medicare payments

[gwoodruff]

Mental Health ICD-9 coding

Does anyone have any information on ICD-9 / CPT coding for Outpatient Mental Health? We are not getting the 80% MC payments we should be getting for either MD and individual agency/home vts. When contacting MC their reasoning is that it is due to the ICD-9 / CPT code combinations we us. Any advise would be tremendously appreciated as I am fairly new in this field.
Thank you in advance.

 

[1073358]

I am not sure what state you are in so it could vary, but here's what I have for my region (WI):
http://www.wpsmedicare.com/part_b/policy/psych014.pdf

See if that helps you?

 

[gwoodruff]

Thank you! I checked it out for NY and I did find the info I needed in NGS website under LCD for Outpatient Psychiatric and Psychology services. I do appreciate your input. Again...Thank you so much!