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CPT 90791 – For Nor Cal is PT face 2 face reqired?
90791 –Help
90791 Billing
I see where this question was posted once before, but I don’t see where anyone ever responded to it. We have now had this happen in our Pain Management practice and I’m not quite sure how we bill it. Here is the original question:
‘We have a pt that came in for an assessment but was not able to finish on this day she came back a couple days later to finish the assessment. Are we able to bill 90791 for both days or can we only bill one 90791 and if so does it matter which day we bill this on?"
Also, if you can’t bill 90791 for the return visit, what code do you bill?
Any input would be greatly appreciated.
Thank You!
Billing frequency of CPT 90791 and 90792
Can someone please assist me. We are a Behavioral Health Clinic (FQHC). How often can the above CPt’s be billed? is it considered an initial visit or subsequent or both? unable to find a specific billing guideline from CMS. Thank you!
90791 vs 90792
90791 Question
We are a medical pain management practice and have hired a LCSW to enhance the services we render to our patients. We are wondering how many hours it should take our LCSW for a psych diagnostic eval (90791)? How many of these should she be reasonably expected to do in a week?
Any feedback or pearls of wisdom would be greatly appreciated.
Psych Diagnostic Eval ( 90791) with an ED visit
Thank you
Psychiatric eval 90791 and Psychological testing 96101
90791 Psychiatric diagnostic evaluation
Providers currently bill 90791 for an initial intake appointment. This is when the providers are gathering information from the parents regarding their concerns. Outside of the appointment, the parents complete questionnaires and measures to help the psychologists determine what diagnostic testing may be appropriate.
If testing is warranted, they then bill 96101 for the testing/evaluation and the subsequent time it takes to analyze, write the reports, etc. An authorization for this service is often required and they may request up to 8 hours for it.
96101 Psychological testing (includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopathology, eg, MMPI, Rorschach, WAIS), per hour of the psychologists or physicians time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report
Our question is since the 90791 is broad, what would keep them from being able to bill 90791 for the testing and then 96101 for the time it takes to interpret the results and write the report?
Can anyone offer any insight??