AAPC - Back to school
Results 1 to 3 of 3

Thread: Clinical Social Worker Coding

  1. #1

    Default Clinical Social Worker Coding

    AAPC: Back to School
    Our primary care clinic just brought on board a clinical social worker. Do I code these encounters the same way I would code a social worker in the psychology clinic? The clinical social worker said the only difference between being a clinical and a counseling social worker is that a clinical social worker can actually diagnose patients - so are they performing the same services, just with the addition of using a diagnosis?

  2. #2
    Join Date
    Apr 2007


    LCSW's don't bill E/M services. They have an entirely separate set of rules. There are also a minimal number of CPT codes that they use. Depending upon what type of service your counselor is performing, they normally have one session a week with a client (they like to refer to "patients" as clients, at least the ones I've dealt with) & that code is a 90806

    The most commonly used codes for LCSWs are 90801, 90802, 90806, 90808, 90812, 90814, 90846, & 90847.

    They also use a "DSM-IV" code as their ICD-9 diagnosis code. You always want to double check for specificity.

  3. #3
    Join Date
    Apr 2007


    DSM doesn't always "crosswalk" to the correct ICD-9 codes. We just had this problem with Asperger’s and Pervasive Developmental Disorder diagnoses are being coded as Rhett's. We just changed our EHR and the new EHR uses ICD-9. This has sent our clinicans into a panic. lol

    There is also the possiblity that they will be providing Health and Behavior Assessments, which is different than treating the mental illness.

Similar Threads

  1. Licensed Clinical Social Worker
    By broundy in forum Behavioral Health
    Replies: 7
    Last Post: 08-23-2011, 11:32 AM
  2. Licensed Independent Clinical Social Worker
    By Captain74 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 06-02-2010, 02:08 PM
  3. Licensed Clinical Social Worker / Pain Management
    By Walker22 in forum Behavioral Health
    Replies: 2
    Last Post: 04-13-2010, 10:01 AM
  4. Clinical Social Worker / Pain Management
    By Walker22 in forum Anesthesia
    Replies: 1
    Last Post: 04-09-2010, 09:32 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.