Inpatient Facility Coding & Compliance Alert

Reader Question:

Master Inpatient Electroconvulsive Therapy Reimbursement with ICD-9 Code 94.27

Question: How do I get reimbursed when a patient with psychiatric disorder receives electroconvulsive therapy (ECT) during an inpatient psychiatric facility (IPF) admission?

California Subscriber

Answer: Costs are doubled for IPF stays that provide for this service as well. An extra payment is due to the IPF for each session of the ECT on the patient. In case a patient happens to receive ECT during the stay, the facility should bill ICD-9-CM code 94.27 under the revenue code 0901 signifying the total number of ECT treatments provided to the patient during their IPF stay listed under “Service Units.” to get the additional amount. Remember to mention the total number of ECT treatments in the “service units” category. The Federal per diem base rate for 2014 is $713.19 and an additional ECT rate of $307.04 (FY 2014 CMS update for IPF PPS)

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