Wiki Questions on Combinations of Coding

[dballard2004]

When it comes to services occurring on the same day (same practice, same group), are the following combinations allowed?

1. Can a psychologist bill for therapy (e.g., 90834) and a psychiatrist/NP/PA bill for med management with supportive therapy?
2. Can a psychologist bill for therapy (e.g., 90834) and a psychiatrist/NP/PA bill for a service that is just med management WITHOUT supportive therapy?
3. Can a psychologist bill a brief assessment (96127) along with a psychiatric evaluation (90792) by a psychiatrist/NP/PA?
4. Can a psychologist bill a brief assessment (96127) along with a med management visit by a psychiatrist/NP/PA?
5. Can a psychologist bill an eval (90791) as well as a psychiatrist/NP/PA performing an eval (90792)?

Thanks.

 

[dbirt13]

When it comes to services occurring on the same day (same practice, same group), are the following combinations allowed?

1. Can a psychologist bill for therapy (e.g., 90834) and a psychiatrist/NP/PA bill for med management with supportive therapy? Yes
2. Can a psychologist bill for therapy (e.g., 90834) and a psychiatrist/NP/PA bill for a service that is just med management WITHOUT supportive therapy? Yes
3. Can a psychologist bill a brief assessment (96127) along with a psychiatric evaluation (90792) by a psychiatrist/NP/PA? No
4. Can a psychologist bill a brief assessment (96127) along with a med management visit by a psychiatrist/NP/PA? yes, add 59 modifier to 96127
5. Can a psychologist bill an eval (90791) as well as a psychiatrist/NP/PA performing an eval (90792)? yes

Thanks.

 

[dbirt13]

Hello, I added my reply after your questions. We bill for those all the time and have no problem with getting reimbursed

 

[dballard2004]

Thanks so much!

 

[charlenefunderburke24@gmail.com]

Hello, I added my reply after your questions. We bill for those all the time and have no problem with getting reimbursed

May I ask how do you code your inpatient initial med eval performed by FNP-BC for clearance to inpatient admission to an acute inpatient psych hospt. The provider documents and encounter w/ ot w/o abnormal findings and I code the 9922X w/ Z00.XX and use the abnormal finding secondary. The 90792 and 9922X are billed on the same dos by different providers and it comes back denied dup. or another issue is coding a consult on the same day as an inpatient subq visit. how would I apply CPT codes 9923X and 9923X by different provider on same dos without it denying as dup?