Billing & Coding
The visit time with patient was documented and billed for 20 minutes.
What is CPT code 90832?
Individualized treatment plan includes 4 components.
What is type, amount, frequency and duration of the services?
True or false: Is the provider required to submit psychotherapy notes for claim review?
False
Coded for Group Psychotherapy.
What is CPT code 90853?
Treatment must at a minimum include these reasonable expectations.
What is reduce or control psychiatric symptoms to prevent relapse or hospitalization and improve or maintain the patient's level of funcitioning?
True or False: To report psychotherapy and E/M same day, both must be significant and separately identifiable.
True
Psychotherapy codes for sessions lasting less than 16 minutes.
What is not billed?
This individual prescribes and supervises services, periodically evaluates to determine the extent to which treatment goals are being realized and whether changes in direction or emphasis are needed.
What is a Physician?
Provider billed CPT code 90834 (38-52 minutes) the documentation supports 35 minutes. What are your next steps?
Deny for GBE02 and correct code to 90832.
Modifiers 93, 95, & FQ.
What are the modifiers used for telehealth services?
This denial code is used when medical necessity is not met and there is no LCD/LCA.
What is GBC02?
What dates of service are we reviewing for this project?
January 1, 2023-May 11, 2023
How can minutes be documented?
What is start and stop or total times?
This modifier is used when providing services via Real time Interactive Audio and Video Telecommunications.
What is modifier 95?
What Jurisdictions have LCD and LCA's?
JN, J6/JK, J5, J15, JH/JL