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Inpatient Psych Ward Billing

  1. #1
    Default Inpatient Psych Ward Billing
    Exam Training Packages
    Currently we have a consult liason service (consisting of a Psychiatrist and an APRN) who see patients in a medical hospital setting. I normally code 90801 (for new patients) and a 90862 (for follow-ups) but sometimes use consultation or subsequent hospital care codes. Our facilty will be opening up an inpatient Psych Ward and I need input as far as what CPT codes are commonly used.

    Thank you.

  2. #2
    Default
    On our inpt unit, I commonly see the following:
    90801
    99231
    99232
    99232
    99251-99255
    99238/9
    90862
    and once in a while, I will see inpt psychotherapy codes used. Not often though.

  3. #3
    Default
    We commonly use:
    IP Psych Codes:
    90801
    90816, 90817
    90862
    90846, 90847
    90853

    IP E/M Codes:
    99251-99255
    99231-99233
    99238, 99239
    Donna E. Young, CPC

  4. #4
    Location
    Louisville, KY
    Posts
    1,101
    Default
    I'd expect to see those psychotherapy codes too. It's often overlooked on IP pro fee coding: 90816-90829 and 90853 is VERY popular at some facilities.

  5. Default
    Are psychotherapy codes more appropriate than E/M in the inpatient setting?
    Wendy P. Wright, CPC, CPMA, CEMC, CHC
    Compliance Coordinator
    CaroMont Health

  6. #6
    Location
    Louisville, KY
    Posts
    1,101
    Default
    That depends on what service is rendered . . .

  7. #7
    Default
    Review the documentation. You would code the most appropriate code to what was rendered. Don't form the visit to the code, form the code to the visit.
    Keep in mind that if they want to bill therapy codes, the notes need to reflect what they are actually doing for the patient.

  8. #8
    Default
    Thanks for your replies.

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