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Psych E/M Code with Modifier

  1. #1
    Question Psych E/M Code with Modifier
    Clearnace Sale
    I am not sure what modifier to use on a 90817 (Psychotherapy w/ E/M) when billed with 90853 (Group Psychotherapy). 25? 51?

    Thanks for your help!

  2. #2

    According to CCI, 90817 is a component of 90853 and the indicator is (1). Your modifier, if criteria met, would be -59 (on the 90817).

    Hope this helps!
    Sylvia Thompson, CPC
    Billing Supervisor
    San Diego, CA

  3. Default

    Here is the link to CCI edits on Medicare website in case you need it.

  4. #4
    That does help! Thx so much!!!

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