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Can an MSW bill for 90804-90809?

I am looking for detailed information on coding and billing for Psychiatry, specifically the 90801, 90804 - 90809, 90816 - 90822, and 90845 - 90853 sections. We are a substance abuse treatment...

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Re: Can an MSW bill for 90804-90809?

Any level provider of MSW and higher can bill the psych section, UNLESS the code includes an E&M component. These would be 90805, 90807, and 90862. Only an MD or DO can bill these (or a nurse...

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Re: Can an MSW bill for 90804-90809?

Thanks. The Addictionologists are MD's, they were previosly in various fields of medicine (ie:internal med, anesthesia, etc) but have been certified in addiction medicine. Do you know where I can find...

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Re: Can an MSW bill for 90804-90809?

Well, I'm guessing that would be in the scope of practice for your specific state. Any provider can bill any code that is within the scope of practice for their licensure level. Since MSW's do...

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Re: Can an MSW bill for 90804-90809?

Thank you

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Re: Can an MSW bill for 90804-90809?

Since we do not participate and are opted out of Medicare how would I get an LCD and what is an LCD?

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Re: Can an MSW bill for 90804-90809?

An LCD is a "Local Coverage Determination" put out by Medicare. Just go to the local carrier's website and search for "psychology" and "LCD". You don't have to be participating. You might want to go...

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