katiereynolds
New
We just added our first psychologist to our practice and I'll be doing the coding and billing of her claims. We're an outpatient, independent clinic specializing in pediatric care in Wisconsin. The provider's degree is a PsyD.
She'll be performing both diagnostic evaluations for the purpose of diagnosing; and also regular mental health/behavioral health therapy sessions. I've been trying to dig up articles on the diagnostic testing on this and am Just not finding much. I know that I need either an AH or HP modifier. Apparently the way they billed/coded her claims at her old place of employment was something like this for the diagnostic testing/assessment:
90791 for the first hour/parent meeting
96136 for test administration and scoring then +96137 for each additional 30 minutes
96130 for psych testing eval services, first hour
+96131 testing, each additional hour
+90785 for interactive complextiy (if needed)
Then a parent meeting at the end with 90837.
I can't find a whole lot of info on this, maybe I'm looking in the wrong places. Any links to good articles or personal insight is appreciated!
She'll be performing both diagnostic evaluations for the purpose of diagnosing; and also regular mental health/behavioral health therapy sessions. I've been trying to dig up articles on the diagnostic testing on this and am Just not finding much. I know that I need either an AH or HP modifier. Apparently the way they billed/coded her claims at her old place of employment was something like this for the diagnostic testing/assessment:
90791 for the first hour/parent meeting
96136 for test administration and scoring then +96137 for each additional 30 minutes
96130 for psych testing eval services, first hour
+96131 testing, each additional hour
+90785 for interactive complextiy (if needed)
Then a parent meeting at the end with 90837.
I can't find a whole lot of info on this, maybe I'm looking in the wrong places. Any links to good articles or personal insight is appreciated!