tci Outpatient Facility Coding Alert - 2015 Issue 3

Reader Question: Be Informed When You Can Claim More Than One Unit

Question: Sometimes initial psychiatric diagnostic evaluations are performed in more than one session for a patient. In such a case, can we bill for more than one unit of 90791 or 90792 as the case may be or should we bill a psychiatric diagnostic evaluation only once per patient? Also can we use 90792 and then subsequently use 90791 or do we need to wait for a time frame? Any detailed information on these two codes will be helpful.   Oregon Subscriber Answer: When your psychiatrist performs an initial psychiatric diagnostic evaluation of a patient, you’ll have to...

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