tci ED Coding & Reimbursement Alert - 2003 Issue 8

Youd Be Crazy to Leave Your Psych Coding in the Dark

Since your emergency department (ED) physician probably performs several psychiatric evaluations a day, you may need to freshen up on your psychiatric coding lingo if you can't tell when to bill a 99285 versus a 90801.  Psychiatric visits in the ED are common, and their parameters can vary greatly. Since there is a large difference in services provided to an acutely suicidal or psychotic patient and a patient with a less severe psychiatric episode, coding can often become complicated. The key to coding various scenarios is in the documentation of services provided, which will increase with the severity...

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