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CPT Coding Changes

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CPT Coding Changes
 
  CPT CODES
February 23, 2013 8:45 AMCarol Pisani
 

CPT CODES
From: Carol Pisani
To: CPT Coding Changes
Posted: February 23, 2013 8:45 AM
Subject: CPT CODES
Message:
Hi Everyone
My experience with Anthen BcBS in Connecticut has bee different

I have not seen a copay for each code billed.

They do not have the therapy add on codes, 90833,90836,90838 on the APRN fee schedule.

They do have therapy codes 90832,90834,90837 I have added them to 99 codes and have been paid.

payment for codes are as follows

NEW AdMit
99203-58$
99204-89$                                                       ADD ONS ALLOWED
99205-107$

ESTABLISHED
99213- 58$
99214-89$                                                       ADD ONS ALLOWED 
99215-107$

therapy codes(they have allowed to use as add on to 99 codes)
90832-30 min-50$
90834-45 min-76$
90837-60 min- 91$

So a new admit that is of moderate complexity and get 60 minutes of time(therapy must be documented on a sepaerate note) I do a soap style note. =  180$ (includes copay)

I used to get 120$

So more money to be made and more paperwork!!
Any thoughts???
Carol P

 

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Carol Pisani
Trumbull CT
(203) 522-6088 (home)
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