Time as a factor
Does counseling by a psychiatrist count as counseling if the MD is assingning an E/M code for the service that day? If so, then time can be used as the primary determination since more than 50% of the...
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Anyone that is allowed to bill an E&M Code, and spends more than 50% of the time on counseling the patient, can choose time as the predominant factor in choosing the level.HOWEVER, you must code...
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Thanks - when the MD writes the note as therapy, we do use a therapy code in place of the E/M. This is (again) tied in with the psychiatrists doing med management and checking on physical problems,...
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Okay, can you be more specific on what the psychiatrist is doing? Why are they seeing patients for physical problems? If they are doing med management with some minimal, supportive psychotherapy...
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From the discussions I have had with two of the psychiatrists, it sounds exactly like your scenario - in which 90862 would be correct. But then, the psychologist will also provide more in-depth...
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