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Annie Posted Mon 03rd of October, 2016 11:37:29 AM
I am new at pysch coding and was wondering when do I know to use the pysch eval. code or to use the E/M code? Also, if the patient is seen for a counseling follow-up what code can you use?
SuperCoder Answered Tue 04th of October, 2016 08:03:32 AM

Hi Tim,

If the psychologist is documenting the Health and Behavior Assessment and making the psychiatric diagnosis, then we will bill codes like 90791 or 90792. For counseling follow-up we will be E/M code that will support documentation and psychotherapy services if any.

Hint: If the psychologist is reporting the Health and Behavior Assessment/Intervention codes, he cannot bill E/M or prolonged service codes along with psychiatric diagnosis code at the same office visit.

Annie Posted Tue 04th of October, 2016 09:22:58 AM
So if its an initial visit I code 90791 or 90792 and if its a counseling follow-up code an e/m code? In the HINT part you are just stating that you cannot code 90791 or 90792 with an e/m code on the same date of service correct? Also, how do I know to use 90791 or 90792? I would use 90792 if the psychologist prescribed meds, right?
SuperCoder Answered Wed 05th of October, 2016 03:20:21 AM

Hi Tim,

Psychiatrists use code 90792, which indicates medical services were provided, while nonmedical providers use 90791, which does not include medical services. Medical services may consist of any medical activities such as performing elements of a physical exam or considering writing a prescription or modifying psychiatric treatment based on medical comorbidities.

In short: Use 90792 for Psychiatrists, 90791 for Psychologists for the initial visit and then an E/M code 99212-99215 for any follow-up visits with the psychiatrist. Thank you.

Annie Posted Fri 07th of October, 2016 11:57:57 AM
Another question. If the psychiatrist sees a patient for an initial visit (90792) and the patient wants to continue with psychotherapy. The patient was seen the next week for psychotherapy visit. When do I know to code an E/M and a psychotherapy or to only code a psychotherapy code alone?
SuperCoder Answered Mon 10th of October, 2016 03:12:32 AM

Hi Tim,

If patient is been examined by Psychologists again on next visit and then he goes for psychotherapy (treatment techniques in which a qualified health care provider helps a patient with a mental illness or behavioral disturbance identify and alleviate any emotional disruptions), we will bill E/M as per documentation as well as psychotherapy. But if visit is follow up for psychotherapy only, we will only bill psychotherapy codes.

Hint: Psychotherapy only use (90832, 90834, 90837)

Psychotherapy with separately identifiable medical evaluation and management services includes add-on codes (90833, 90836, 90838)

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