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Thread: Adhd

  1. #1
    Join Date
    Apr 2007

    Question Adhd

    AAPC: Back to School

    I was told today by Blue Cross Blue Shield that after 3 ADHD visits for the same patient we need to bill 90862. I don't know very much about this code. Does it replace the E/M? What documentation is required to meet this? Does this same rule apply to most insurances not just BCBS?

  2. #2


    90862 is for Med Management. In other words, the providers checks the patient an sees how they are doing on the medication to see if they need a different dosage etc. There isn't much of an E/M included with this, so if your provider is spending more time with the patient, you are not getting paid for it. 90862, I believe, would be a visit that is less than 20 minutes and only includes minimal psychotherapy.

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