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CPT 90862 vs M0064

Computer Sciences Corporation AdvanceMed, a CSC Company Program Safeguard Contractor PO Box 148089 Nashville, Tennessee 37214 615.872.8600 615.872.0272 fax CPT 90862 vs M0064 The Medicare/Medicaid Data Project Team* for North Carolina identified, through a data analysis study, that billing for ...

The Do’s & Don'ts of Mental Health Coding

90862 Not used for – Actual administration of meds, or – For observation of patient taking oral medication Pharmacologic Management 90862

PatientTrac Coding Bulletin for Psychiatry

Pharmacologic Management (90862) The 90862codeisused when evaluating the effects of prescribed psychotropic drugs, with only minimal psychotherapy provided.

Behavioral Health

The primary billing codes used are as follows: 90862 -Defined as pharmacological management including prescription use and review of medication with no more than minimal psychotherapy 90805-Individual psychotherapy approximately 20 - 30 minutes face to face, with medical evaluation and management ...

Local Coverage Determinations | Tools | TrailBlazerHealth

Section IV: Pharmacologic Management of Psychiatric Illness (90862, M0064) Pharmacologic management (90862) is intended for use for patients who are being managed primarily by

RHC-FQHC Mental Health Billing Policy

... procedure codes must be accompanied by an AJ modifier to bypass the CommunityCARE referral requirement for mental health services administered in the RHC or FQHC by a LCSW: 90801, 90802, 90804, 90805, 90806, 90807, 90808, 90809, 90810, 90811, 90812, 90813, 90814, 90815, 90846, 90847, 90853, 90857, 90862 ...

Psychiatric Services

However, typically, treatment provided to a patient with a diagnosis of Alzheimer's disease or a related disorder represents medical management of the patient's condition (such as described under CPT code 90862 or any successor code) and is not subject to the limitation.

Programs (Guidelines/Limitations)

... following services are covered using telehealth: Consultations (CPT codes 99241-99245 and 99251-99255); Office or other outpatient visits (CPT 99201-99215); Psychiatric intake and assessment (CPT code 90801); Individual psychotherapy (CPT codes 90804-90809); and Pharmacologic management (CPT codes 90862).

MHA has received approval from the Center for Medicaid and ...

Claims Submission: There are three (3) allowable options: 1) Multiple Billers Distant site psychiatrist submits an allowable billing code (i.e. 90862) with the GT modifier and the originating site submits the facility fee code: Q3014 2) Single Biller The originating site submits claims for both the ...

Medicare Carriers' Policies for Mental Health Services (OEI ...

Pharmacologic Management 90862* Pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy.