Pre-surgical psych evaluations (96150 versus 90801 & 96101)
I have a provider who is billing for pre-surgical psych evaluations (gastric bypass, back surgeries, etc.). We are currently billing 90801 & 96101 with a diagnosis (V71.09). Most insurance...
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We don't use the health and behavior assessment codes. It is my understanding that the person presenting has a physical problem that their behavior is exacerbating. For instance, someone with diabetes...
View ArticleRe: Pre-surgical psych evaluations (96150 versus 90801 & 96101)
When you bill for the presurgicals with 90801 what diagnosis do you use? Some insurance companies do not pay for a V-code and that is what prompted the investigation into 96150.This is a link from...
View ArticleRe: Pre-surgical psych evaluations (96150 versus 90801 & 96101)
See, that's part of the problem - the H&B codes are not for psychological assessment, which is what psych testing is for. You cannot do both H&B and psych assessment at the same time. If you...
View ArticleRe: Pre-surgical psych evaluations (96150 versus 90801 & 96101)
Obviously, if testing results in the finding of a mental health dx, then using that dx is appropriate. By the same token, if there's a mental health dx already in place when the patient is being seen...
View ArticleRe: Pre-surgical psych evaluations (96150 versus 90801 & 96101)
prosete... I disagree. There is no specified dx to rule out... the question is, are there any mental health issues that would negatively impact the patient if they had the surgery. That is not a dx....
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