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Neuropsych testing

  1. Default Neuropsych testing
    Medical Coding Books
    Please help. I have never billed neuropsych testing. Dr. saw patient for two hours on two seperate days. I only have one report which I need to submit to the no fault carrier. Do I bill the visits in two units for each of the days she saw the patient, or do I total all the hours and bill them as one visit? Also, the report date is not the same as the actual testing dates. I am confused as to whether I bill with the report date or one of the testing dates.
    Last edited by soprano; 06-28-2010 at 09:27 PM.

  2. Default
    You didn't specify your CPT, but I'm assuming that the testing and report were both performed by a psychologist/MD, and therefore coded as 96118. In your scenario, our office would bill for both of those dates, for the number of hours of physician time per date.

  3. Default
    If the psych Doc administered the testing himself, then code for the services provided

    Day 1 -- he adminitered tests for 4 hours
    Day 2 -- he administered test for 2 hours, spent 2 hours interping all the test data and 1 hour writing the report

    Code day 1 -- 96118 x4
    Code day 2 -- 96118 x5

    96118 Neuropsychological testing (eg, Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales and Wisconsin Card Sorting Test), per hour of the psychologist's or physician's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report

  4. Default
    I'm trying to find out similar information. We have a Neuropsychologist doing the testing and sometimes we have a technician doing the testing. Sometimes. the psychologist does part of it and then the technician does some on the same day as well.

    Can you bill a 96118 and a 96119 on the same day? Also, Do you have to bill the scoring and report writing with the last day of testing? Or can you bill the testing on the day it's done and then the scoring and report writing on another day?

    this is all new to our office and would appreciate your input.

    Thank you

  5. Default
    What about for the feedback? Provider brings patient back in days later to go over the results, what code do you use? Is it even billable? Some are suggesting 90801, 90804, 90806 but I'm ot sure this is appropriate?

    Mary Beth

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