We have noticed that just about every payor is now recouping for instances where 90832 -90837 is being billed on the same day as MD-Estpt (99212-99215) and add on 90833. The payors are stating that per the CMS NCCI guidelines 90833,99212-99215 are included in the payment for global code 90832 - 90837. So in a nutshell they are not going to pay for med management separately if therapy is billed on the same day.
Has anyone else encountered this? We dont use any modifiers, but not sure if we should be. Any direction is appreciated.
Has anyone else encountered this? We dont use any modifiers, but not sure if we should be. Any direction is appreciated.