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Thread: Medicare payments

  1. #1
    Join Date
    Apr 2007
    Flower City Professional Coders

    Question Mental Health ICD-9 coding

    AAPC: Back to School
    Does anyone have any information on ICD-9 / CPT coding for Outpatient Mental Health? We are not getting the 80% MC payments we should be getting for either MD and individual agency/home vts. When contacting MC their reasoning is that it is due to the ICD-9 / CPT code combinations we us. Any advise would be tremendously appreciated as I am fairly new in this field.
    Thank you in advance.
    Last edited by gwoodruff; 06-15-2009 at 07:16 AM. Reason: updated

  2. #2


    I am not sure what state you are in so it could vary, but here's what I have for my region (WI):

    See if that helps you?

  3. #3
    Join Date
    Apr 2007
    Flower City Professional Coders


    Thank you! I checked it out for NY and I did find the info I needed in NGS website under LCD for Outpatient Psychiatric and Psychology services. I do appreciate your input. Again...Thank you so much!
    Last edited by gwoodruff; 06-16-2009 at 02:47 PM.

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