AAPC - August DL Sale: 50% OFF
Results 1 to 4 of 4

Thread: 2 hour therapy appt

  1. #1
    Join Date
    Apr 2007
    Posts
    11

    Default 2 hour therapy appt

    We have a provider that informed us she spent 2 hours in an outpatient therapy session with a patient. The 90808 is 75-80 minutes. Does anyone know what to bill to get the maximum reimbursement for this 120 minute therapy session? The patient insurance is a commercial plan. Thanks for your help!

  2. #2
    Join Date
    Apr 2007
    Location
    Louisville, KY
    Posts
    1,100

    Default

    Can relate what provider type she is? That'll help in code recommendations.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3
    Join Date
    Apr 2007
    Posts
    11

    Default

    She is an LMHP...Thanks.

  4. #4

    Default

    Does the documentation for that visit support the medical necessity of a visit that length? If there was good reason and the notes reflect it, maybe you can bill a 90808-22. I have never tried this before, but maybe worth a shot.
    You have to bill the code that best reflects what the provider did, not just the one that gets paid the most.

Similar Threads

  1. Missed Appt's
    By heffengirl321@yahoo.com in forum General Discussion
    Replies: 1
    Last Post: 11-07-2014, 01:52 PM
  2. CPT 95920 per patient, per hour or only per hour
    By AHVC in forum General Surgery
    Replies: 1
    Last Post: 01-21-2011, 02:53 PM
  3. 90801 and 99205 same appt??
    By ejallo in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-29-2010, 11:30 AM
  4. 99205 during same appt as 90801??
    By ejallo in forum Billing/Reimbursement
    Replies: 0
    Last Post: 12-29-2010, 10:35 AM
  5. Two pts at one appt
    By loricoder in forum E/M
    Replies: 2
    Last Post: 10-10-2008, 02:01 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.