We have a clinical psychologist who performs screenings. Patients are referred by a physician. Patients are given the screenings and they fill them out and return to the office. The psychologist then generates a report and reports it to the patient and the referring physician. This is not a fact to face meeting. I am looking for the most accurate CPT code for this screening. 96130 seems appropriate since I believe this would be considered part of a diagnostic testing service. Anyone with experience with screenings please jump in. Thanks
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Tag Archives: Psychological
modifer question on new Psychological codes
My provider is billing for 96130,96131,96136,96137. My computer system is editing stating code 96136 needs modifier 51. Should I add modifier 51 to code 96136?
Score an A for Coding Psychological and Neuropsychological Tests
CPT® codes for psychological and neuropsychological tests include tests performed by technicians and computers (CPT codes 96102, 96103, 96119 and 96120) in addition to tests performed by physicians, clinical psychologists (CPs), independently practicing psychologists (IPPs), and other qualified nonphysician practitioners (NPPs). The payment amounts for tests performed by a technician or a computer are adjusted […]
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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 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??
Coding for Psychological Services
I have recently started working for a Psychologist private practice. Is there a place I can go to see exactly what codes are available for the Dr. to use? She is already set up with a billing company, but I wanted to see if she is billing for all that is available for her. Thanks