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90801 vs. Consultations

  1. #1
    Default 90801 vs. Consultations
    Medical Coding Books
    Hi all,

    When a psychiatrist (MD) is conducting a diagnostic interview examination, Should 90801 get reported or a consultation code (all consultation criteria met) also (DOS is 2009)?

    According to CPT Assistannt, March 2002: ..."These codes [90801] are not intended to be used by physicians. Instead, physicians performing these services may indentify their efforts by choosing the E/M codes appropriate to the type and level of service being provided"

    My understanding is that consultation should be reported, but I am questioning myself =). (It's becasue AXIS are being established).

    Any thoughts??? Thanks!!

  2. #2
    If another dr asked the psych to do a consult than its a consult. If its just a new patient to the dr, I would bill the 90801. Ultimately it comes down to the notes and what's documented.

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