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Is modifier 95 required on every code furnished via telehealth? After reading “Take the Complexity Out of Behavioral Health Coding” in the June 2022 issue of Healthcare Business Monthly, a reader asked: “If billing 96130, G0396, and 90791, would I use modifier 95 on all three of these procedure codes in addition to the U4?” […]
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Thank you,
Lisa
I work with a pediatric multi-specialty group that also has behavioral/mental health services via psychologist/psychiatrists and soon to also include LCSW in our Pediatric Cancer Center group as well as a Developmental group and genetic counseling. I have never had the opportunity to work with behavioral/mental health coding/billing before and am looking for some good resources to learn. One of my big items is deciding when it might be more appropriate to use the behavioral health codes versus E/M codes for our psychiatrists and psychologists. We outsource our actual coding reviews and having worked with them in the past, I’m concerned that we might need to review what the providers as well as the coders have been taught in the past so that we’re all in compliance and in sync with each other.
Anything you might be able to suggest would be greatly appreciated!
Tracey
Thanks for any input.
Tammie
Please send resume to [email protected] if interested.
Location preference for Latham, NY; Woburn, MA, or Remote
My initial thought is to only bill for the MD since this is only one visit. Do any other Behavioral Health clinics work with a pain management program?
My initial thought is to only bill for the MD since this is only one visit.