CPT Coding Changes

This message has been cross posted to the following eGroups: Advanced Practice Steering Committee and CPT Coding Changes .
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I don't take insurance in my private practice but do complete the HCFA forms for some clients to turn in for out of network reimbursement. I did one the other day and there are 6 lines for dates of service with each having one corresponding box for the CPT code. If we are using  psychotherapy codes plus the E&M "add on" code that takes up basically 2 lines or 3 if using the complexity add on. That can mean only 2-3 visits can be submitted per form instead of 6. Anyone know if this form wil be revised or any thoughts about options?
Mary, I noted you mentioned just using the 99 codes. So, for example if I am seeing a 22 year old Bipolar II client for therapy and complex medication management - I think I am hearing you say it is likely best i use the 99214 or 99215 rather than the therapy code plus the 99 code? Also glad you posted the initial eval code info ( 99205 ) to use vs the 90792. I have listened to all the webinars and printed out the transcripts for me and my students, printed out power points, crosswalks, forms, etc but still do not feel at all like I am sure of what I am doing. For example I would have totally used the 90792 until your post. 
I think this DB is a really important one right now.
thanks!
Debbie Thomas
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Debbie Thomas
EdD, APRN, PMHCNS- BC
Associate Professor ULSON
Coordinator PMH APRN Concentration
Owner private practice
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yes, use a 99215, i'm sure you can make the criteria for that level of complexity.

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Mary Moller
Associate Professor, Specialty Director-Psychiatric Nursing
Yale University School of Nursing
New Haven CT
(203) 389-4277 (home)
(203) 737-1791
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Show Original Message -------------------------------------------
Original Message:
Sent: 02-05-2013 00:53
From: Deborah Thomas
Subject: CPT coding and HCFA forms

This message has been cross posted to the following eGroups: Advanced Practice Steering Committee and CPT Coding Changes .
-------------------------------------------
I don't take insurance in my private practice but do complete the HCFA forms for some clients to turn in for out of network reimbursement. I did one the other day and there are 6 lines for dates of service with each having one corresponding box for the CPT code. If we are using  psychotherapy codes plus the E&M "add on" code that takes up basically 2 lines or 3 if using the complexity add on. That can mean only 2-3 visits can be submitted per form instead of 6. Anyone know if this form wil be revised or any thoughts about options?
Mary, I noted you mentioned just using the 99 codes. So, for example if I am seeing a 22 year old Bipolar II client for therapy and complex medication management - I think I am hearing you say it is likely best i use the 99214 or 99215 rather than the therapy code plus the 99 code? Also glad you posted the initial eval code info ( 99205 ) to use vs the 90792. I have listened to all the webinars and printed out the transcripts for me and my students, printed out power points, crosswalks, forms, etc but still do not feel at all like I am sure of what I am doing. For example I would have totally used the 90792 until your post. 
I think this DB is a really important one right now.
thanks!
Debbie Thomas
-------------------------------------------
-----------------------------------------
Debbie Thomas
EdD, APRN, PMHCNS- BC
Associate Professor ULSON
Coordinator PMH APRN Concentration
Owner private practice
-----------------------------------------

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Deborah. Absolutely use the 99 codes and the add on therapy code for this type of patient. I am find with most insurance companies this is quite a bit more reimbursement. After all we are treating these patients for medical reasons as well and therefore have a higher level of responsibility. Good luck. Lynn
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Lynn McClellan
Business Owner
Mattoon IL
(217) 273-3226
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Show Original Message -------------------------------------------
Original Message:
Sent: 02-05-2013 00:53
From: Deborah Thomas
Subject: CPT coding and HCFA forms
This message has been cross posted to the following eGroups: Advanced Practice Steering Committee and CPT Coding Changes .
-------------------------------------------
I don't take insurance in my private practice but do complete the HCFA forms for some clients to turn in for out of network reimbursement. I did one the other day and there are 6 lines for dates of service with each having one corresponding box for the CPT code. If we are using psychotherapy codes plus the E&M "add on" code that takes up basically 2 lines or 3 if using the complexity add on. That can mean only 2-3 visits can be submitted per form instead of 6. Anyone know if this form wil be revised or any thoughts about options?
Mary, I noted you mentioned just using the 99 codes. So, for example if I am seeing a 22 year old Bipolar II client for therapy and complex medication management - I think I am hearing you say it is likely best i use the 99214 or 99215 rather than the therapy code plus the 99 code? Also glad you posted the initial eval code info ( 99205 ) to use vs the 90792. I have listened to all the webinars and printed out the transcripts for me and my students, printed out power points, crosswalks, forms, etc but still do not feel at all like I am sure of what I am doing. For example I would have totally used the 90792 until your post.
I think this DB is a really important one right now.
thanks!
Debbie Thomas
-------------------------------------------
-----------------------------------------
Debbie Thomas
EdD, APRN, PMHCNS- BC
Associate Professor ULSON
Coordinator PMH APRN Concentration
Owner private practice
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