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CPT Coding Changes


1.  new evals

Posted Apr 13, 2013 11:13 AM


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Lori Pelosi
Watertown CT
(203) 525-8052
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------Hello
when  doing a new eval in office setting what is the code
90791
can u ever use 99204?

thanks
lori-------------------------------------


2.  RE:new evals

Posted Apr 14, 2013 9:26 AM
Dear Lori,
If youi are doing primarily an E&M type of intake with lots of medical comorbidities, medications, labs to order, records to review, collateral information to collect than use 99204 or 99205.  If it is more of a psychotherapy oriented intake with minimal medical aspects use the 90792, however it may be reimbursed lower than 99205 because they don't take into count complexity or medical decision making.

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Mary Moller
Associate Professor, Specialty Director-Psychiatric Nursing
Yale University School of Nursing
New Haven CT
(203) 389-4277
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3.  RE:new evals

Posted Apr 15, 2013 11:17 AM
Mary,
Am I correct in saying that if we use the 99204 or 205 we should also use the 90836 or 90838 with it?  Thank you, and thanks also for all of your diligent work on this as well as the fantabulous feedback!  Rhonda

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Rhonda A. Roy
MS, APRN, PMHNP-BC
COVAMC, & Private Practice
Lawrence, KS 66049
785-766-6567

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