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Group Therapy (90853) by Psychologist

  1. #1
    Default Group Therapy (90853) by Psychologist
    Medical Coding Books
    I need information for billing group therapy for a Psychologist in an inpatient hospital psychaitric ward (I am located in Missouri).
    Medicaid/MoCare guidelines state that 90853 is billed in 30 minute units and you can bill 3 units/day and a maximun of 15/month.
    Medicaid guidelines also state that the group must consist of 3 but not more than 10 individuals who are not members of the same family. I am assuming this applies to inpatient or outpatient. The Medicare guidelines I found are not that specific. I have not had time to research the guidlines for any other payors. I am assuming that I can bill for each 30 minute unit (for example 2 units for an hour).


  2. #2
    Per CPT 90853 is not time based so I could only bill multiple units to Medicaid and MoCare.


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