Wiki Psychology/Psychiatry

[lauriepaul1115]

I am wondering if anyone can point me in the direction of an Aetna guideline that indicates they will not cover CPT codes 96136-96137 and 96138-96139 when performed on the same day. The first set is for the provider or other healthcare professional and the second set is for a technician. Thanks any comments are welcomed.

 

[iowagirl77]

96138 bundles to 96136, but you can add a 59 modifier to 96138 as long as the provider and technician performed different testing. If it still denies, try appealing.