lgirouard14
Networker
Does anyone happen to know if we are able to bill for a 96101(Psychological testing) in conjunction with an E/M code?
Thank you!
Thank you!
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Wiki 96101 with an E/M
- Thread starter lgirouard14
- Start date
Pathos
True Blue
That would generally depend on the patient's insurance carrier. However, in terms of Correct Coding, my CCI validation tool explains that you would need to at least append a modifier 25 to the E/M code. If documentation supports the Psych test and medical necessity also supports a Significantly, Separately problem in the shape of an E/M, then you might be able to bill both.
Also, the provider would be able to bill either visit independent of each other, meaning a regular psychologist could not do 96101 and an E/M visit, unless the state the provider is practicing in allows otherwise.
Also, the provider would be able to bill either visit independent of each other, meaning a regular psychologist could not do 96101 and an E/M visit, unless the state the provider is practicing in allows otherwise.