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96101 code vs hours

  1. Question 96101 code vs hours
    Exam Training Packages
    Summary of Services

    1. 6/2/11: initial brief intake session (1/2 hr); administration of the Beck Youth Inventory (1/2/ hr) total time 1 hr.

    2. 6/3/11: continued intake data (1/2/ hr); administration of IVA+ ADHD r/o (1/2/ hr) … total time=
    1 hr.

    3. 6/6/11: therapy session focusing of emergence of agitated depression … 1/hr.

    4. 6/15/11: spoke earlier with Probation Officer and then met with Pt to review the chart data and set some treatment goals … will organize and write report tomorrow after the information gels ... 1 hr.

    5. 6/16/11: wrote report for Court and will have copies ready by this afternoon for tomorrow's hearing … 1 hr.


    Do I need to code 96101 X5 since it has per hour? how would I code this? please help...

  2. #2
    Default
    Which visits are you asking "how would I code this"? All or just the testing part of the visits? Is the interpretation and report of these test documented on 6/16 only?

  3. #3
    Default
    You have a few different things going on there. It is not all 96101 code

  4. #4
    Default
    Quote Originally Posted by clapahe299 View Post
    Summary of Services

    1. 6/2/11: initial brief intake session (1/2 hr); administration of the Beck Youth Inventory (1/2/ hr) total time 1 hr.

    2. 6/3/11: continued intake data (1/2/ hr); administration of IVA+ ADHD r/o (1/2/ hr) … total time=
    1 hr.

    3. 6/6/11: therapy session focusing of emergence of agitated depression … 1/hr.

    4. 6/15/11: spoke earlier with Probation Officer and then met with Pt to review the chart data and set some treatment goals … will organize and write report tomorrow after the information gels ... 1 hr.

    5. 6/16/11: wrote report for Court and will have copies ready by this afternoon for tomorrow's hearing … 1 hr.


    Do I need to code 96101 X5 since it has per hour? how would I code this? please help...


    Ok, I'm goint to attempt this.
    DOS 06/2-3/11
    Intake as in 90801 would be coded for 06/03/11. It was started on 06/02/11 and completed on 06/03/11 and would be coded on the day of completion. Intakes are not time based, so it wouldn't matter for the time on this part. As far as the testing it has to be a minimum of 31 minutes to be able to bill for it. I would educate the provider to double check how long it took for the testing.
    DOS 06/06/11
    Written report for court 90889.


    90806 with 22 modifier to make up the 60 minutes.
    DOS 06/15/11
    Need exact time spent speaking to the patient only. Not sure about speaking to the probation officer. I would think it is included in the patient as well as the written report.
    The Oracle

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