tci ED Coding & Reimbursement Alert - 2001 Issue 3

Reader Question: 90801 vs. E/M

Question: A psychiatric patient usually comes to the ED either under court order or with the police carrying an emergency petition that requires psychiatric evaluation. How should this be coded? Is 90801 an option?Maryland SubscriberAnswer: Whether you code the evaluation of psychiatric patients on an evaluation and management (E/M) level or use 90801 (psychiatric diagnostic interview examination) depends on the supporting documentation. If the documentation supports a psychiatric diagnostic or evaluative interview procedure that includes a history, mental status, and a disposition, and possibly communication with family or other sources, ordering and medical interpretation of laboratory or other...

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