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Wiki Primary Care physicians providing addiction medicine services

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eflannery

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We have 2 physicians who have Family Practive with Addition Med specialties.

They are using psych codes (90791/90792, 90832, etc...) and we are having issues with insurance companies denying these.

Does anyone have a resource with coding guidelines for a non-psychiatry specialty physician providing these services? I'm not sure if they are "allowed" to use psych codes or not, or if they should only be using e/m codes. I haven't been able to find anything anywhere that says anything definitive.

Thanks in advance!
 
First you should check with the payor. I have found that so many of them have different rules, but depending on exactly which services they are providing (there are many different services that could be provided), E/M can be appropriate.

But review the guidelines for the codes you are using (don't have it handy right now, but I went through this recently) and it will tell you what specialties can bill the various 90xxx codes.
 
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