Wiki H0031 & 90791

abbyb007

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Can a psychologist (social worker, etc.) bill for H0031 & 90791 (diagnostic evaluation) on the same date of service for the same member? Or would this be considered redundant?
 
Hi Elizabeth,

Thank you for your response. Could you define "physician" or "non physician"? Can 90791 be billed by someone who is not a psychiatrist? You can point me to these guidelines (if any)?

You would not expect to see H0031 and 90791 billed on the same date of service for the same member by the same provider, correct?

Thanks,
Abby
 
Both codes represent evaluation services, and would be considered redundant. In WV where I work there is a Medicaid exclusion for providing these services on the same day - let alone by the same provider.
 
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