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

  1. #1
    Question Can you Bill 90807 when an MD bills 99214 and MSW bills as 90801?
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    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
    sprice@michiganspineandpain.com

  2. #2
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    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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