Results 1 to 4 of 4

Thread: CPT Code 90863

  1. #1

    Unhappy CPT Code 90863

    Is CPT Code 90863 covered by Medicare?

  2. #2
    Join Date
    Apr 2007
    Location
    Duluth
    Posts
    74

    Default

    from what I've found it says that it's not recognized by medicare for oupatient claims and it's status E-- non-allowed item or service

    (it's also an add on code so it would have to go with 90832 etc for other insurances)

    hope that helps

  3. #3

    Default Is CPT Code 90863 covered by Medicare?

    No, 90863 is Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services; used only as add-on to primary psychotherapy code (90832, 90834, 90837). This code was introduced to replace 90862 in January 2013, and is meant for Medical Psychologists, or Psychologists with prescriptive rights. Since Medical Psychologists are not universally recognized by payers, this is a way for them to get paid for their services. If they are recognized, the can use 99-codes, just like Psychiatrists, NPs and other mental health providers.

  4. #4

    Default

    2017 ICD-10-CM Coding Book
    Can someone confirm that if a provider is 'managing psych meds' as part of either Transitional Care Management or E/M services, it is not separately billable?

Similar Threads

  1. 90863
    By staceylh in forum Behavioral Health
    Replies: 1
    Last Post: 04-06-2015, 08:49 PM
  2. CPT code 99050 vs CPT code 99051
    By Rperry in forum Compliance General Discussion
    Replies: 2
    Last Post: 10-29-2014, 09:52 AM
  3. CPT code 45380 or CPT code 45383
    By NESmith in forum Gastroenterology
    Replies: 1
    Last Post: 12-31-2013, 07:15 AM
  4. Coding ER Cpt code or outpatient cpt code
    By tkd in forum Emergency Department
    Replies: 2
    Last Post: 02-17-2012, 08:53 AM
  5. Overread CPT code 76140 vs Original CPT code
    By nperry@umc.edu in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 06-23-2011, 07:19 AM

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.