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90853-One of our Psychologists

  1. Default 90853-One of our Psychologists
    Medical Coding Books
    One of our Psychologists will soon begin doing group therapy. I have seen that Medicare and Medicaid both pay...but I am confused about the units. Does anyone know if 90853 is for one hour, 30 mins. etc.? I have seen that a typical session is 60-120 mins. Also, my understanding is that 8-12 individuals allowed in the group?
    Thanks

  2. #2
    Default
    Where did you find the information about how many people can be in the group?

  3. #3
    Default
    Its not a time specific code (ie no per xx min/hrs in code description) so its 1 unit regardless of time
    CPC-P-A (11/2016), COC-A (9/2016), CPC-A (11/2015), PAHM (2010)
    Fee Schedule Configuration Specialist - Remote

    15 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

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