The Billing Corner: Medicaid Plans in your County

Medicaid Plans

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Common Question of the Week

Q: What happens when a NP and MH Provider both have visits on the same day?

A: Use code 90782 for the diagnostic evaluation with medical visit.

Codes 90833, 90836 and 90838, individual psychotherapy are also with a Medical visit.

You use these codes when patient has both a medical E & M and a BH diagnostic evaluation and/or psychotherapy session.

You cannot bill 90792 without an E & M code; the claim will deny.

These services can be performed by the same or different providers for each service.  For example you can bill the 90792 or 90836, 90828 or 90833 for BH provider and a 99212 or 99213 for NP/Practitioner.  Both are payable.

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