The one thing I can tell you is that either an MD/DO level provider or a PhD/PsyD level provider can utilize these codes. PA/NP extendors may also utilize these codes (if they are appropriate for the service). Although I've seen LCSW use them, as an auditor, I'd question that.
Now, payers have specific limitations on the use of these codes. I believe that lends toward the confusion over use. However, we would not expect to see a patient receiving a full, diagnostic interview every 3 months (although I'm sure there are instances in which that happens).
Of note, I'd read the policies of contracted payers for details of limitations on their use/frequency.
You might be well served to create a "matrix" of frequent payers your facility bills and their particular requirements. I am not in agreement with any of the "limiting" natures placed on these codes, but I'm not paying the bills either--LOL.
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