decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 11 (November)
Don't bill MD-administered psych/neuropsych tests with computer or technician codes
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Article Overview
This article explains Medicare’s position on reporting physician-administered psychological and neuropsychological testing alongside technician- and computer-administered services. It also summarizes related National Correct Coding Initiative edits, modifier status, supervision exceptions, and the types of practitioners involved. The piece is relevant to coding, compliance, and reimbursement teams working with diagnostic psychological and neuropsychological testing.
Why This Topic Matters
These testing services have specific reporting relationships under Medicare and NCCI, so understanding the article helps reduce unbundling errors, avoid improper same-day billing, and recognize when special circumstances and supervision rules may apply.
Article Sections
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Billing guidance for psych/neuropsych testing
Introduces the general reporting relationships discussed for psychological and neuropsychological testing under Medicare. It frames the article’s focus on physician, technician, and computer-based service categories.
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NCCI edit updates
Summarizes the related National Correct Coding Initiative update and the edit structure affecting these testing services. The section places the discussion in the context of current coding edits and modifier indicators.
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Medicare transmittal guidance
Describes the Medicare policy reference cited for limited circumstances involving same-date reporting. It highlights that the article discusses program-level guidance rather than routine billing practice.
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Supervision requirements for psych/neuropsych tests
Covers the supervision framework for diagnostic psychological and neuropsychological testing. It addresses the categories of practitioners referenced and the general regulatory exception described in the article.
What You Will Learn
- How the article frames Medicare guidance for psychological and neuropsychological testing
- What coding relationships and edit updates are discussed
- Which supervision topics are addressed for diagnostic testing
- What types of practitioners are mentioned in the supervision discussion
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Psychology and neuropsychology providers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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