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