JessiePan
New
Hello all!
I am new to Billing/Coding Behavioral Health and in my second week a situation has arouse that the company I'm working for has never encountered.
We have a patient who was court appointed to get a Psychiatric Diagnostic Evaluation (90791). During the appointment the patient denied experiencing any depression, anxiety, use of alcohol or substance abuse. At this time my clinician is feeling confused on how to diagnosis in an appropriate way to bill the 90791. I believe the best code to use would be Z65.3 (Problems related to other legal circumstances), but in my experience Z codes shouldn't be used as a primary diagnosis. My clinician thinks F43.2 (Adjustment disorder, unspecified) may be a way around the patients denied symptoms, but I'm unsure if we have enough evidence to support that.
Does anyone out there have any advice or experience in a similar situation?
I am new to Billing/Coding Behavioral Health and in my second week a situation has arouse that the company I'm working for has never encountered.
We have a patient who was court appointed to get a Psychiatric Diagnostic Evaluation (90791). During the appointment the patient denied experiencing any depression, anxiety, use of alcohol or substance abuse. At this time my clinician is feeling confused on how to diagnosis in an appropriate way to bill the 90791. I believe the best code to use would be Z65.3 (Problems related to other legal circumstances), but in my experience Z codes shouldn't be used as a primary diagnosis. My clinician thinks F43.2 (Adjustment disorder, unspecified) may be a way around the patients denied symptoms, but I'm unsure if we have enough evidence to support that.
Does anyone out there have any advice or experience in a similar situation?