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Thread: Can you Bill 90807 when an MD bills 99214 and MSW bills as 90801?

  1. #1
    Join Date
    Apr 2007
    Bay City

    Question Can you Bill 90807 when an MD bills 99214 and MSW bills as 90801?

    AAPC: Back to School
    We bill for a Master Social Worker. Is it appropriate to bill 90807 when the patient has a New patient appointment with the MSW and a follow up with a MD the same day? Most insurance companies won't pay for 90801 and a 99213 the same day.
    Sarah M. Price, CPC
    Patient Accounts Representative
    Michigan Spine and Pain

  2. #2


    that should be fine, but I would use a 90801 for eval with MSW, not a 90807. I would check CCI edits, then append a modifier accordingly.

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