AlaskanCoder
Guru
Does anyone have experience with billing for a Psychiatrist providing pharmaceutical managment on the same DOS as an LPC providing psychotherapy under the same TIN? The diagnoses are the same for both providers.
In this instance, the MD wants to bill the appropriate level of E/M and the LPC wants to bill with appropriate psychotherapy code. However, payers are denying the LPC as bundled, even though they are billing under separate NPI's.
So, our next thought was to bill the LPC "incident to" the MD, since the criteria is met for "incident to" using the approprite E/M service and the appropriate psychotherapy with E/M service add-on code.
Thoughts?
TYIA,
Karen
In this instance, the MD wants to bill the appropriate level of E/M and the LPC wants to bill with appropriate psychotherapy code. However, payers are denying the LPC as bundled, even though they are billing under separate NPI's.
So, our next thought was to bill the LPC "incident to" the MD, since the criteria is met for "incident to" using the approprite E/M service and the appropriate psychotherapy with E/M service add-on code.
Thoughts?
TYIA,
Karen