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90871 and 99204

  1. Default 90871 and 99204
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    Can someone please verify the correct way this scenario should been coded? Any help would be greatly appreciated!

    Patient comes in for a psychiatric eval (90791) done by a LCSW and then the patient comes back a few weeks later and is seen by the psychiatrist for 99204. Both claims have paid but, since both providers share are in the same group, can he bill that 99204 or should it have been 99214??
    Last edited by; 10-02-2018 at 10:33 AM. Reason: 90791 and 99204

  2. Default 90791 and 99204
    Correction to tiltle of previous thread

  3. #3
    Its a different rendering provider and different specialty/sub specialty, then its new patient. Social Worker and Psychiatry are different specialties.
    CRC (2018), CPC-P-A (2016), COC-A (2016), CPC-A (2015), PAHM (2010)
    Contract/Fee Specialist - Remote

    20 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

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