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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Psych Eval for Spinal Cord Stimulator

If a patient presents to the office (mental health outpatient) for a psych evaluation, and they have no history of anxiety or behavioral health issues.. What ICD 10 codes can be used ? (chief complaint is a need for a psych eval so they can be approved for a medical procedure (spinal cord stimulator) )

Don’t Z codes usually deny if they are listed as primary dx?

Medical Billing and Coding Forum

Documentation for Psych Eval

Hi,

I was wondering if anyone has any templates or can help me with information on what common documentation can be added for psych evals. A majority of our Psych notes are being drown grade with level 3 due to the lack of HPI elements. I’ve been researching for different templates but they lean more towards office visit. Have looking for both Peds and adult. Any guidance or direction will truly help. 😮

Thank You

Medical Billing and Coding Forum

Anesthesia preop eval some days before the procedure

We are about to bill for a new group… who seem to think we can bill an e/m for the standard preop eval if it was done over 72 hours before the procedure.. as a standard practice. I said absolutely not.. to me that Is outright unbundling. Because the visit would be the pre anesthesia eval and not done for a separate unrelated illness. Just had to share this silliness.

Medical Billing and Coding Forum

Psychiatric eval 90791 and Psychological testing 96101

Our Psych providers are posing the below question.

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 psychologist’s or physician’s 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??

Medical Billing and Coding Forum