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PTA Visit

  1. #1
    Default PTA Visit
    Medical Coding Books
    I am new to Mental Health billing. Does anyone know
    what code Medicare wants for the PTA charge. When we
    have an interview code and a PTA code. Medicare is only
    allowing the interview code. We have been using a H0002 (I think this is it)
    for the PTA code but medicare says that we need to use
    a valid cpt code instead of this H code. Can we bill for both?

  2. #2
    What is a PTA?

  3. #3
    PTA is the Pre Treatment Assessment that a provider does during the
    first visit with the patient. At least that is what they are telling me.
    Again, I am new to this.
    Thanks for you help.

  4. #4
    I have never dealt with PTA's, but from what I am getting, it maybe could be billed as a 90801. It all depends on the documentation and how it reads.
    I would not think you can bill both codes. 1) I believe it would be double dipping and 2) Medicare doesn't sound like they pay the H code, so it will be denied... if its any help, you can message me your email and I will email you back and we can take a look at an example note and I may be able to offer better advice..up to you

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