Hi all,
I am new to behavioral health, and am getting conflicting info for how to bill this scenario:
New pt presents to the psychiatrist with symptoms of ADHD, depression, RLS.
Comprehensive History, Detailed Exam, and Moderate Complexity MDM is done. A PHQ-9 screening is done.
An automated neuropsychological test for ADHD (IVA-2) is also administered, which produces an automated 16-page report telling the provider that it revealed moderate impairment, and that ADHD should be considered as a valid diagnosis for this patient. (The patient self-administers the test on a computer screen, which takes about 10 minutes.) Provider reviews and modifies report in accordance with their own findings.
A&P: Pt is diagnosed with ADHD, predominantly inattentive type, and is prescribed Adderall. Pt is diagnosed with Major Depressive Disorder, recurrent, mild, and prescribed Prozac. Pt is diagnosed with RLS and prescribed gabapentin.
The patient was given psychoeducation and counseled on treatment options and medications prescribed.
30 minutes was spent performing psychotherapy.
Total encounter time: 60 mins.
Here's the conflicting billing suggestions I get from different resources:
Thanks,
Adam
I am new to behavioral health, and am getting conflicting info for how to bill this scenario:
New pt presents to the psychiatrist with symptoms of ADHD, depression, RLS.
Comprehensive History, Detailed Exam, and Moderate Complexity MDM is done. A PHQ-9 screening is done.
An automated neuropsychological test for ADHD (IVA-2) is also administered, which produces an automated 16-page report telling the provider that it revealed moderate impairment, and that ADHD should be considered as a valid diagnosis for this patient. (The patient self-administers the test on a computer screen, which takes about 10 minutes.) Provider reviews and modifies report in accordance with their own findings.
A&P: Pt is diagnosed with ADHD, predominantly inattentive type, and is prescribed Adderall. Pt is diagnosed with Major Depressive Disorder, recurrent, mild, and prescribed Prozac. Pt is diagnosed with RLS and prescribed gabapentin.
The patient was given psychoeducation and counseled on treatment options and medications prescribed.
30 minutes was spent performing psychotherapy.
Total encounter time: 60 mins.
Here's the conflicting billing suggestions I get from different resources:
- 99203, 90833, 96146, 96127; or
- 90792, 96146, 96127; or
- 96132, 90833, 96146, 96127
Thanks,
Adam