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96150 Health & Behavior Assessment

  1. Default 96150 Health & Behavior Assessment
    Medical Coding Books
    One of our providers billed 96150 for the following scenerio: pediatric patient hit by a car, has yet to regain consciousness, psychologist is interviewing mother and obtaining patient history and educating her and the rest of the family on what to expect with traumatic brain injuries. I know it doesn't meet the criteria for 96150 but I'm not sure what code, if any, would be appropriate. Any assistance would be appreciated.

  2. #2
    Default Health and Behavior Assessment
    We just started using these codes and have had trouble with them, we did find that we had to use 316 ICD-9 as prime dx, this was for United. The other insurance companies where fine with a health or behavioral dx.
    Not reimbursed to well.
    Hope this helps

    Janet

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