• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Psycotherapy

Create Wiki
H

hspaustat1

New
Messages
4
Location
San Antonio, TX
Best answers
0
What are the documentation guidelines for billing family and individual therapy on the same date of service?

I'm thinking there should be two separate notes, one with time specifically documented. And each session should be during a different time period. CMS allows a modifier to bill both on the same date - would a 51 be used or 59?

Thanks,
 
I completed an assignment for a mental health behavior center last year. For interactive therapy which includes family therapy on the same DOS as individual therapy you would want to use a -59 for distinct procedural svc. I wouldnt use -51 because that is for multiple procedures OTHER then E/M levels according to AMA's CPT definition. If med records are requested after using this modifier, which is very common, then make sure the therapist documents why the family counseling or family interaction was needed, such as a child would not communicate without parents help, etc.
 
You must log in or register to reply here.
Top