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Vicki Posted Fri 11th of January, 2019 14:29:37 PM
We've learned that as part of this coding initiative for 2019 codes we can bill CPT 96131 (testing evaluation services- interpretation, integration, report, etc.) AGAIN to give testing results to the patient on follow up visits. It also instructs to note that it goes with prior evaluation services but is not clear on HOW to do that. Do we put a 25 modifier on the E/M code along with the 96131 or what is the correct way?
SuperCoder Answered Mon 14th of January, 2019 08:12:15 AM
Hi As per CPT guidelines CPT cannot be coded separately as it is an addtional code and always coded with as a primary code The CPT code set adds to report the first hour of psychological testing evaluation services by a physician or other qualified healthcare professional and for each...
Vicki Posted Mon 14th of January, 2019 09:25:20 AM
Then can we charge a AGAIN when the patient comes in for a follow up visit using an either a new patient E M code or an established patient E M code when provider is going over the results of the testing with the patient again The articles we have...
SuperCoder Answered Tue 15th of January, 2019 08:58:22 AM
Hi As described earlier in the CPT code provider administers standardized psychological tests to a patient interprets the results establishes a treatment plan and prepares a report This code covers the first hour of this service and includes discussion of results and treatment plan with the patient and family member...

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