AAPC - Back to school
Results 1 to 8 of 8

Thread: 90862/90805-90807

  1. #1

    Default 90862/90805-90807

    AAPC: Back to School
    Medicare specific question: If psychotherapy is provided by a LMHC and med check is provided by ARNP, on the same day of service, can the psychotherapy service also be billed "incident to" using the ARNPs provider number?

  2. #2
    Join Date
    Apr 2007
    Tucson Cactus Coders


    What are all of the codes you are billing?

  3. #3


    90862 (med check) w/ARNP and 90805-90807 w/Liscensed Mental Health Counselor on the same date of service

  4. #4
    Join Date
    Apr 2007


    I thought 90805 and 90807 included medical exam and pertinent review of medications. Why would there be a need for a med check?

  5. #5


    I question if the counselor if even credentialed enough to bill a 90805/7 since that has a medical component. I know SW and PhD's cant bill it, so I am not sure a counselor could either

  6. #6

    Default example of 90807

    Does anyone have a good example of a 90805/90807? just a bare bones...

    Thank you much!
    Claire Cieri,CPC,CPMA,CEMC

  7. #7


    I would think you would bill the 90805/7 under the NP since the counselor is incidental to the NP

  8. #8
    Join Date
    Apr 2007


    This was coded as a 90805 and passed an audit. It was done by a doctor tho, not "incident to". There was additional information in it...
    Hope it helps

    This 30-year-old patient was referred to me by the Portland office. He has two previous psychiatric admissions history, where he has shown some severe psychotic symptoms in context of his substance abuse, including over the counter caffeine and ephedrine pills. Previously has been on Zyprexa, as per his father who came along with him. Patient has been doing fairly well, but does not want to take combination of medication. In fact, he sporadically takes pills. Patient's history thoroughly reviewed with the patient and his father. Patient is now feeling somewhat depressed part of changing medications and using some THC again. Supportive psychotherapy and education done thoroughly. He denies any active auditory or visual hallucinations. No evidence of paranoia or other forms of delusional thought process. Patient denies any neurovegetative symptoms of depression. Denies any active suicidal/homicidal ideations, intent, plan. He is currently jobless, but has been looking for a job. He has been able to concentrate and focus well. He is currently residing with his mother. He has no relationship. Will discontinue Fluvoxamine, increase in Prozac 60mg am, Invega 6mg hs. Benadryl 25mg hs. Side effects discussed.

Similar Threads

  1. Can a resident bill 90805?
    By lvaughn77 in forum Behavioral Health
    Replies: 0
    Last Post: 11-14-2012, 06:46 PM
  2. 90805/90807/90809
    By j.troyer in forum Behavioral Health
    Replies: 1
    Last Post: 10-13-2012, 06:04 PM
  3. 90807
    By RLXE2004 in forum Behavioral Health
    Replies: 3
    Last Post: 08-24-2012, 06:23 AM
  4. hcpc 90805
    By shefalijoseph@hotmail.com in forum Behavioral Health
    Replies: 1
    Last Post: 03-30-2012, 01:07 PM
  5. What/how much EM to bill 90805 vs 90804?
    By 1073358 in forum Behavioral Health
    Replies: 2
    Last Post: 01-23-2009, 07:02 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.