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Lina Posted 3 Year(s) ago

In the past Mississippi Medicare would only pay 50% of the allowed charges if a psychiatric diagnosis in a primary care office. Do you know if this is still true? If we bill depression diagnosis 311 with a cpt code of 99213, will be only get paid 50% of the allowed charges?

SuperCoder Posted 3 Year(s) ago

Thanks for your question. You are correct, Medicare once reduced psychiatric services by 50%. Starting in 2014, Medicare now covers claims with psychiatric codes at 80% leaving the beneficiary responsible for 20%. See the attached link for the reimbursement rates.

https://www.noridianmedicare.com/provider/updates/docs/why_has_my_allowed_or_paid_amount_been_reduced.pdf

Posted by Lina , 3 Year(s). There are 2 posts. The latest reply is from SuperCoder.

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