Wiki Sibling therapy

[PatriciaCPC]

Hi everyone,
Can anyone tell me how they are / would bill Sibling therapy with parents in the session and Sibling therapy without parents in the session. (Both Siblings btw are the patients)

I contacted a major insurance for clarification of such, and was advised 90847 would apply however we would only be able to bill under 1 of the siblings.

I feel there should be a better way to define this scenario with CPT.
Any help would be greatly appreciated!

 

[tefranklin57]

The billing will go under the patients name, CPT 90846 Family without patient present or 90847 Family with patient present. The session/therapy is for the patients benefit, family members are not your patient. Documentation must state all that were present and topic of discussion.

 

[PatriciaCPC]

I appreciate your input! What about when 2 siblings are patients? Can we bill for both siblings in the same session? Would the same codes apply?

 

[MJ4ever]

If the siblings with the parents are all seen at the same time, I would think it would be ethical to only bill for one 90847. If the siblings are split up and each is seing the provider with their parents present, then I would think it is ok to bill 90847 for each child.
When everyone is seen at the same time all issues are laid on the table at the same time. I don't see how it could be billed twice. Idk, just my opinion.