Marilyn Posted Mon 02nd of May, 2016 20:11:04 PM
Dr is billing for say 90837 (with patient only), then with just a parent without the patient. What is the correct code for without patient?
SuperCoder Answered Tue 03rd of May, 2016 03:21:33 AM
Thanks for your question. The same code is applicable for the following 3 scenarios:
1. With patient alone
2. With family member alone
3. With both patient and family member
So for any of these 3 scenarios, you can report the same code i.e. 90837.
There is another option to consider when the physician is providing family psychotherapy without the patient present, you can report 90846 (Family psychotherapy (without the patient present)).
Please feel free to write if you have any query or concern.
Marilyn Posted Tue 03rd of May, 2016 14:41:09 PM
90837 and 90846 can't be billed same day, same provider(?)
SuperCoder Answered Thu 05th of May, 2016 01:52:21 AM
You can bill both codes same day because modifier is allowed to unbundle these services but the documentation of medical record must have justification for modifier usage.
Marilyn Posted Thu 05th of May, 2016 22:54:44 PM
Yes, documentation exist. Modifier "59" on 90834?
SuperCoder Answered Fri 06th of May, 2016 04:03:43 AM
Before reporting both codes on the same day by the same provider, please make sure that for code 90837, focus of the service delivery is on the individual patient whereas for code 90846, focus of the service delivery is on family dynamics or interactions (though the treatment is still intended for the benefit of the patient). Modifier 59 can be appended to column 2 code i.e. 90837.