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Thread: Inpatient Psych

  1. #1
    Join Date
    Apr 2007

    Default Inpatient Psych

    AAPC: Back to School
    Does anyone have any experience with inpatient psych? Regs and credentialing bodies require a psych eval and medical H&P. Generally speaking the Medical H&P has a psych dx, which will get denied because 2 docs are providing servcie with same dx...Any suggestions?

  2. #2
    Join Date
    Apr 2007
    Louisville, KY


    Why can't the same MD supply both services? This is what I have seen done; the psychiatrist or a PA admits the patient and conducts both exams (which are included in the H&P document). The other option is to ask the carriers if it makes sense (assuming the patient lacks a medical diagnosis) to utilize a V70.X series code as the primary on the medical exam--since this is required for admission and administrative purposes.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3

    Default Inpatient H & P on the same day as Psych Eval

    Some psychiatrists are willing to do the the H & P, but most are not. Medicare and our Corporate compliance have said the V70 series is inappropriate in inpatient settings. CPT does offer a modifier "A1" to append to the 90801 but no one in our corporate community (200 BH hospitals) have used it.

  4. #4
    Join Date
    Apr 2007


    The feed back that I am getting is that most psychiatrist won't do the physical exam. Thanks for your help.

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