So, I have a very perplexing coding dilemma and am hoping for some insight/suggestions.
We were recently referred a client who had been hospitalized for suicide attempt/MDD/OCD.
He was sent straight over to our office upon discharge from the hospital for immediate eval/treatment.
Was initially scheduled with a psychologist, but was then referred by that psychologist to one of our psychiatrists. This was very late on a Friday afternoon; client was seen on an urgent basis.
Client arrived late t the appointment, however our MD saw him on an urgent basis anyway, and then had him come back in the following Wednesday.
When the M.D. wrote the report, he did a single report for both days (ugh!!).
There was a total of 160 minutes spent with this client face to face, who is a very severe case, (and with additional time spent in coordination of care/research on case/reviewing records), I am unsure how to code this. Any ideas?
Also, this client has out of network insurance (double ugh!!) and we were given authorization for 1 99205, however, were not given authorization for an emergent or extended visit.
Please help? Do I code 2 separate visits even though they are technically part of the same eval and are done on the same report? Or do I code for only 1 visit?
-posted in Behavioral Health Forum as well
Last edited by jcochran; 12-21-2011 at 08:23 AM.
Reason: added "posted in Behavioral Health Forum as well"