tci E/M Coding Alert - 2017 Issue 4

Reader Question: Learn How to Bill E/M 99212, +90833, and +90863

Question: Can you bill separately for these three services if the physician performs them?: 99212, +90833, and +90863. Is the medication management bundled in the E/M code? New York Subscriber Answer: Coding for these services might depend on the payer’s policy. If the Correct Coding Initiative (CCI) edit holds priority over the CPT® parenthetical, then the answer is no. Per the April 1, 2017 CCI edits, +90863 (Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services [List separately in addition to the code for primary procedure]) is a Column 2 code for 99212...

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