Wiki Psych E/M Code with Modifier

[deyoung]

I am not sure what modifier to use on a 90817 (Psychotherapy w/ E/M) when billed with 90853 (Group Psychotherapy). 25? 51?


Thanks for your help!

 

[thompsonsyl]

Hi,

According to CCI, 90817 is a component of 90853 and the indicator is (1). Your modifier, if criteria met, would be -59 (on the 90817).

Hope this helps!

 

[codegirl0422]

http://www.cms.hhs.gov/NationalCorrectCodInitEd/

Here is the link to CCI edits on Medicare website in case you need it.

 

[deyoung]

That does help! Thx so much!!!