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Wiki Psych E/M Code with Modifier

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deyoung

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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! :)
 
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!
 
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