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[Jamenicole83]

I am new to the coding psych world and as I familiarize myself with the E/M codes vs actually therapy coding timed sessions, individual vs group- I am coming to a fork in the road. May I ask your assistance please? My provider wants to investigate prolonged therapy coding as he is wanting to see patients for more than ( and is needing to) up to 90 min sessions. He has been coding with 90847 primarily with family issues mostly. To my gathering I am not seeing any type of way to code for 90 minuets using prolonged therapy as in the CPT and Desk reference it clearly states to "do not over use" prolonged therapy codes. My provider than asked about billing with add on codes? (are they only to be added to E/M codes for the first evaluation or can we use them constantly) ie; +99415, and +99416?? is this possible? similarly, wanting to know about multiple unit coding? for example: 90847 x1.5 units? would this be advisable? and finally last topic we are trying to get under way is the "interactive complexity" coding (primarily one main reason for prolonged therapy due to complex issues outside the therapy session in or at home that makes therapy more complex) what are the rules and guidelines to coding for such complications as this is their main focus type of patients. My provider also understands each payer has their own guidelines and suggested he needs to call each insurance carrier and find out what their acceptance is for this type of coding..I would love your advice, suggestions and or method if you are not too busy much appreciation and gratitude.