Results 1 to 3 of 3

90862 vs 99214

  1. #1
    Default 90862 vs 99214
    New Call-to-action
    When you are auditing a psych chart, how do you differentiate between 90862 and EM codes?give me examples please. I know its whatever the focus of service is, but when reading the notes, its not always that simple.

  2. Default
    90862 - patient already on meds, presenting for follow up. Focused MS exam. No side effects, no med adjustments necessary. Average visit between 10 - 15 minutes.

    99214 - patient presents to start meds.
    Full MS exam, labs possible. Inital meds started with request for follow up in most cases.

    Patient on meds presents regarding side effects, needs medication adjustment, etc.
    More than minimal evaluation

    Last edited by diamonddiva; 10-22-2010 at 02:42 PM. Reason: clarification

  3. #3
    Default 90862 vs 99212
    The 90862 does not state face-to-face. As an FQHC, our local Medicaid office is telling us that 90862 is not valid as an FQHC service due to this. However, they further state that if we have H&P, face to face, and documented exam, then it meets the criteria.

    I would consider this 99212 or 99213 based on how much history and medical decision making is involved.

    What would you consider?

Similar Threads

  1. 90862
    By Revenuecycle in forum Behavioral Health
    Replies: 0
    Last Post: 07-08-2013, 10:23 AM
  2. 90862 in SNF
    By stonecm in forum Behavioral Health
    Replies: 0
    Last Post: 09-25-2012, 01:42 PM
  3. 90862 billing
    By ninaogh in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 06-12-2012, 08:34 AM
  4. 90862 + e/m
    By kmdavey in forum Pediatrics
    Replies: 1
    Last Post: 02-07-2012, 12:36 PM
  5. 90862 - urgent!!!!
    By ddr2 in forum Behavioral Health
    Replies: 1
    Last Post: 09-22-2009, 06:50 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.