I know they are included in the "encounter rate" for Medicare and will go on the cost report to recoup our costs.
However for all other insurances are you/can you bill the limited CLIA waived tests using the QW and be reimbursed?
What billing procedures are you following in your practices?
If so, how are you determining the costs when the supply cost is so minimal?
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Does anyone know where I can locate the payable ICD-10 codes (LCD) for Nuclear Stress Testing? 78452 A9502 93015 j2785 Thank You
Medical Billing and Coding Forum
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??