Results 1 to 4 of 4

Visit code with 90862

  1. Default Visit code with 90862
    Medical Coding Books
    Hi All,
    Can we bill for Psych Visits with 99211-99214 (depends on what level of service) with 90862 if the provider prescribed any medication with Psych DX..?pls.HELP..


    Thanks

  2. #2
    Default Reference
    http://www.mnpsychsoc.org/MA.pdf

    This reference suggests that it would be possible. However "prescribing any medication" would not automatically meet the threshold for 90862. This reference indicates that the medication management should meet several qualifications.
    Last edited by jackson7591; 08-16-2011 at 12:20 AM.

  3. #3
    Location
    Louisville, KY
    Posts
    1,101
    Default
    According to NCCI, these codes bundle. If you "score" out your E&M service, medication management is included in the medical decision making; thus, you are not likely to have the same provider reporting both codes on the same date of service.

    The documentation of the service should drive the code selection. I would have to review the record in order to make a case-specific recommendation, but try to determine (with the help of the provider, perhaps) what services are the point of the patient presenting. Honestly, psychiatrists (by practice) do not normally conduct an in-depth enough service for an established patient to warrent the 99212-99215 series--but that is based on my subjective experience. Your provider may be different.

  4. Default
    Thanks a lot,Kevin..

Similar Threads

  1. Home visit and office visit same day, how do I code
    By nelstx2 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-27-2013, 03:31 PM
  2. 90862
    By Revenuecycle in forum Behavioral Health
    Replies: 0
    Last Post: 07-08-2013, 11:23 AM
  3. 90862 + e/m
    By kmdavey in forum Pediatrics
    Replies: 1
    Last Post: 02-07-2012, 01:36 PM
  4. Billing 90862 with E/M code
    By msbilling85 in forum Family Practice
    Replies: 3
    Last Post: 12-05-2007, 06:45 PM

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?

Login

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.