Wiki Psych and Neuropsych testing and evaluation services

[Dfreddie]

I'm hoping someone can help me out with this one. How do you bill for the feedback portion if that is the only part that is done via telehealth? All the testing is done in person, but when it comes to the feedback sessions, most times our providers do that part via telehealth. If the claim goes out after the feedback session with all charges (which is another question) then the POS on the claim is 02, but that's not accurate for 96136-96139 or most of the services included in 96130-96133.

When submitting charges for the testing and scoring, I'm finding that some of our providers have the tests administered and observations, etc., everything but the actual scores documented. That report integration is completed at the time of the feedback session. We're being told by some providers that that scoring documentation, report creation, takes significant time so they only want to do that documentation of the scores once. In that situation, what date of service do you utilize for the testing/scoring? The date of the feedback (when the report is "created" that has the scores) or the testing date (since that's when the tests were administered and, according to the provider, scored but not documented in the chart yet because of the process involved).

Thanks!

 

[tdtorain@gmail.com]

Hello:

With Psych testing billing is typically broken down using the following:

90791
96130
96131
96136
96137

Check your CPT book for specifics on each code and what applies. Each Code is a line item; each line can have its own POS but there are bundled codes where the POS must match in this set. Depending upon the state of which the service rendered will determine what is allowed. EX: Indiana requires Psych testing services to be rendered in person with the exception of the intake (90791); which can be rendered via telehealth.