Psychiatry Coding & Reimbursement Alert
Reader Question:
Don't Expect Reimbursements for Reduced E/M Services
Published on Tue Oct 02, 2012
Question:
California Subscriber
Answer:
Unfortunately, it doesn't sound like your psychiatrist did enough to warrant any reimbursement for the time he spent. However, you can try to report his services using the unlisted E/M service code: 99499 (Unlisted evaluation and management service).It is best to send whatever documentation there is from the visit to the payer when reporting 99499. Then, the payer will decide if there was enough to pay any fee. However, it is better that you are not over-expectant as you may not receive any payments for the services and time spent by your psychiatrist with the patient.
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