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90801 and 90802

  1. #1
    Question 90801 and 90802
    Medical Coding Books
    Can these services be performed as inpatient or outpatient? Can they be billed with other e&m's?

  2. #2
    Default
    They can be billed in or outpatient.

    When you mean billed with other EM's, do you mean same provider same day?Please clarify

  3. #3
    Default
    same provider on the same day

  4. #4
    Location
    East Stroudsburg, PA
    Posts
    78
    Default
    According to Medicare the codes are good for inpatient and outpatient. Medicare states that the codes can be substituted with E&M codes. This usually means that the E&M cannot be billed with these codes.

  5. #5
    Default
    I can not think of a good reason why psych would bill a 90801 and an EM on same day. They really should hardly be billing EM's period. I would say no. Check CCI edits for sure, but gut says no.

  6. #6
    Default
    They are intensivists so they would be admitting patients.

  7. #7
    Default
    My thought is they should be billing the admit codes then and let the psychiatrists bill the psych evals 90801/2

  8. #8
    Default
    Well they are psych intensivists I apologize I should have clarified that

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