DecisionHealth, DecisionHealth - 2024 Issue 9 (September)

How to code involvement of a case manager in an office visit

Question: Have you ever encountered a practice wanting to bill T1016 (Case management, each 15 minutes) for a workers’ compensation visit where the case manager is present and the provider discussed the case with them? The practice wants to report T1016 in addition to the office visit E/M code. When I researched this code it appears to be for behavioral/mental health and not the work comp case manager situation. Do you have any insight on this?

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