99214 psychiatry example99214 psychiatry example

99214 psychiatry example11 Apr 99214 psychiatry example

In such cases, rehabilitative, evaluation and management (E/M) codes should be reported. You aren't required to break down how much time you spent before, during, and after the visit, though that may be helpful supportive detail in the event of an audit. Both of these CPT (Current Procedural Terminology) Codes are part of a particular family of billing codes, including 99211-99215. Here are three questions you can ask yourself to quickly determine whether you've just performed a level 4 visit: Was your total time between 30 and 39 minutes for an established patient, or between 45 and 59 minutes for a new patient? However, the flow of conversation may quickly turn to feelings of depression that are now accompanying this pain. My daily insurance billing time now is less than five minutes for a full day of appointments. Clinical example 99214 E/M coding, EM evaluation and management coding, e&m documentation, 99214, 99213 Reviews (Avg: 4.9 / 5) of 80 This is Excellent and helps a lot to improve clinical documentation Deivanai March 24th, 2021 I GOT HELPFULL CONTENT FROM THIS SITE JAYESH January 14th, 2021 Best site and very good info. This way, all clinicians billing with these codes can receive the highest reimbursement for their services. Correct but then you kinda have to make that decision partway through the encounter. PERRLA. CPT Code 99214 is a code that is issued for the second highest level of care for a patient's office visit. However, these may also be carried out and documented in far less complex methods than originally anticipated. CPT. CMS has finalized the following services to be added to the Category 1 list: Group psychotherapy (CPT code 90853) Psychological and neuropsychological testing (CPT code 96121) . and office psychiatry services that are currently on the list of telehealth services. nmanojkumarame The Psychiatry E/M Coding Curriculum. EXTREMITIES no edema. If youre not changing anything Im willing to bet the vast majority of our patients have 3 or more problems. I guess it really just depends on whether or not you have a patient that wants to discuss medications the entire length of a 20 minute visit or are they willing to discuss their life stressors. This procedure is covered by most insurance plans. HEART: S1 and S2 w/o murmurs. Here is a list of the most common evaluation and management psychiatry CPT codes: Please check out our extensive guide to 2021 reimbursement rates for psychiatrists. In more severe cases, perhaps even a referral may be set in motion for a mental health professional. Length of time for code 99214 is 25 minutes. Physical Exam Personal belief: If you spent the time, effort and money to go through psychiatry residency +/- fellowship, you should be able to decide if you're doing "16+ minutes of psychotherapy" - not the insurance company. Two out of three criteria were met, so code it as a level 4. CC : Follow-up hypertension and diabetes Since 2013, all psychiatrists have had to use new CPT (Current Procedural Terminology) codes. General: NAD, conversant Offer. Thank you. 99214: $375.00: Established Patient 40 minutes: 99215: $450.00: New Patient Level IV Complexity: 99204: $480.00: New Patient Level V Complexity: 99205: $615.00: Psychotherapy: 30 Minute Psychotherapy Add-on: . This can save valuable time in patient intake and with screening the patients and monitoring their progression, even in between appointments. No: No tests were ordered. 217 0 obj <>/Filter/FlateDecode/ID[<61859C512EEFB34DB4EBBC37B36F516E>]/Index[205 20]/Info 204 0 R/Length 81/Prev 713670/Root 206 0 R/Size 225/Type/XRef/W[1 3 1]>>stream You are using an out of date browser. However, this code is extremely popular, being the second most used among middle level billing codes. New Patient, Outpatient, In-Office Services CPT Codes: New or Established Patient, Outpatient, Consultation CPT Codes: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service, We charge a percentage of the allowed amount per paid claim (only paid claims). Pertinent PFSH is remarkable for mild OA which has been quiescent Was level 4 data reviewed/ordered? JavaScript is disabled. Office of Corporate Compliance - University of Chicago Medicine The psychiatric visit progress note template is designed to provide the clinician with a systematic approach to documenting important information at each follow up visit. Subjective: 23 y/o female presents for recheck of depression, also complaining of sore throat and ankle sprain. Decision about minor surgery with identified risk factors for patient or procedure. CPT code 99214 is used for established patient E/M services. The 2021 Office Visit Coding Changes: Putting the Pieces Together, Coding Level 4 Office Visits Using the New E/M Guidelines, CPT E/M office revisions: level of medical decision making. See if you can identify why each is a level 4 before you get to the explanation. Push fluids. that range from detailed surveys to simple sliding scales. So if you have a patient with two stable chronic conditions let's say (Bipolar + GAD or MDD + PTSD) and You are prescribing medications, you are meeting two Criteria from 2 Separate columnsYou can bill for 99214 rather than 99213. Seems easy enough to get to a 99214 if you're spending 30 min with a patient but not sure if people are regularly billing 99214 + 90833 (vs 99213 + 90833) and if insurance is reimbursing for 99214 + 90833 on a regular basis. Also keep in mind that decision making does not always need to include detailed exams. Evaluation and management of an established patient in an office or outpatient location for 25 minutes. These services are typically set in an office location. Some insurance companies only pay 15% over the Medicaid rate in their state, whereas others pay 45%, 60%, 80%, 85% on top of their states medicaid rate. These two procedures incorporate biofeedback and psychotherapy (insight oriented, behavior modifying, or supportive) as combined modalities conducted face-to-face with the patient. LUNGS: Clear. While the detailed or expanded exams are fairly commonplace, as well as easily achieved, most of the questions come in regarding the history and decision-making components. https://i0.wp.com/mentegram.com/wp-content/uploads/2017/04/Cpt-99213-and-99214.jpg?fit=960%2C540&ssl=1, //mentegram.com/wp-content/uploads/2014/09/mentegram_logo-website_main.png, CPT Codes 99213 and 99214: Behavioral Assessment Billing. Reimbursement like RVU generation or reimbursement like payment from insurance company? Current Guidelines -99213/99214 2021 Guidelines -99212 based on time, 99213/99214 on MDM Medical Decision-Making Low/Moderate: Acute, uncomplicated illness or injury -99213 OR Acute illness with systemic symptoms -99214 Straightforward: No data reviewed -99212 Moderate: Prescription drug management -99214 21 Example - dT:a=qrn1gf E4{$. 99214 (Office Pt, Established) Elizabeth Smith, MD . ADHD, ODD, other specified anxiety disorder. Title: Alzheimer's Dementia SOAP Progress Note Example Author: Liz Lobao Created Date: 3/26/2012 1:47:43 PM . CPT Code 99214 is a level four code that can be used only for an established patient, whether the visit is conducted in the office or in an outpatient atmosphere. is the driving factor to determine if low-level or moderate-level care is given. Free Account Setup - we input your data at signup. 1037539v1 OUTPATIENT/OFFICE PSYCHIATRIC PROGRESS NOTE COUNSELING AND/OR COORDINATION OF CARE (99214 or 99215) Patient's Name: _____Date of Visit:_____ Interval . Reach out for help from us about suggestions! This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. It may also include discussing the patient's care with other health professionals or family members, calling the patient later in the day, or ordering medications, studies, procedures, or referrals, as long as those actions happen before midnight on the date of service. Extended exam of the affected body region or organ system: For the purposes of examination these body areas are recognized - Head, including the face; Neck; Chest, including breasts and axillae; Abdomen; Genitalia, groin, buttocks; Back, including spine; and Each extremity Trouble is if even one of these folks shows up and against expectations everything is -not- copacetic this time, you might end up taking 30-40 minutes dealing with the situation. It can result in $30,000 or more in lost revenue in a year, depending on practice volume. All Rights Reserved. Psychiatric Progress Note Template homestudycredit.com Details File Format PDF Size: 797 KB Download 4. hb```"fUaf`e`s4 NECK: Benign. Billing a 99214 with a typical time of 25 minutes but repeatedly subtracting only 10 minutes to attribute more time to the psychotherapy portionbecause you believe you can do the E/M work much faster than your colleaguesmay raise questions in an audit. 99214, the Mental Status Exam must address nine of the following eleven Mental Status elements: Speech Orientation Language Memory Thought Processes Attention . You can call, text, or email us about any claim, anytime, and hear back that day. Most all visits involve at least 2 diagnoses. Most all visits involve at least 2 diagnoses. It cannot be used with a new patient who has no history. Subscribe . Evaluation and Management (E/M) Patient Examples 99214 Office visit for a 13-year-old male, established patient, with depression, anxiety, and anger outbursts. |v',4*K4% f7dyYnHy[A{sckz }f j-l &3mKzy2W|g|nQinVR{|5SZ rWZ.Dhnl>n^HnHe}lfY6xf[vyDI/4Y6Se_=eRJjQlVt An easy-to-understand example of a physician using CPT Code 99213 is when an existing patient has a scheduled appointment for a routine health examination. At that point you are an -entire- patient behind. hb```#ea "@Ui@@3FFlU1{,LnM"6p00Ufivp{V  The good news is that it is not only for mental health providers or therapists. / Did you order/review level 4 data and manage level 4 risk? Im 98% 99214, 2% 99215. Many medical professionals can bill with CPT Codes 99213 and 96214. Free Account Setup - we input your data at signup. x;EO&@O. *kT1Rq:/(Rr9[>YsvYNz"gRRIk2:Os]o.YS!k|:tj_;p]qM5*BjF-]&Mj{Kc8emt/6MrL5R.85'VYM+/g-nV-%cWu:S6{Q:[{_Ws'4.3I{Ti_|]W4.sYy{{y#Nh]W3'4.k&y$E: : 4iy8Xm}#m&{o\>+3\]Gcjrh{hW$xs=v1n.n5ee)4X6vI$}[Vh5gBkkCRk(^{]n5Fv;s8}IJqiU%%u}Ei0;ryu8g]~5 sRuit|)| uJ{(w3:+K.D(oP li9M-~~iiKT2392J_cEC&j_mp>M>[D4FOnVQ2r=Sbk+K0y.Rq)6j7!975ii6'4Im-kYU,*&W-y(R0tV0xS10Z"63-.4Dl&|$H`h(K"884d%;DMsj{rp{%(9Rt"Jx+vfQ[EY2%pht38VUF%u0Yva>Z2GLNYkc9&gzws6E,Yvi-jWfZF[ E5M'HY^>C&E"JU! xWzWnwaGjQ6(rQ'CpHD!BMJz|F ,0nm315&2(erbR~bc{,C8g+P`~p9U 8%;DTw!J JaJH)Re;z(DJ'\P{YUfVq^j is=pY"2,zx2`|oIqJ 8zO3?G Start: Dec 1, 2022 Get Offer. If youre changing a med, they should be a 99214 if you can pull out one more problem you can consider. Codes 90832-90834 represent insight oriented, behavior modifying, supportive, Add in the unnecessarily difficult insurance billing system and we run the risk of working way over full-time. This code is used for services not specifically defined under another code. I have some patients who are 99214 medically complex and I see them some months for weekly therapy. A great example of a primary care doctor using CPT Code 99214 is when an existing patient comes in for a routine health examination for chronic pain. hj0o@B6kl#Cb[Hn&[3`0Y9G7s X#aUraLAUGUqb(:^ This is due, in part, to more easily achieved factors for reimbursement on this code than with other CPT Codes, including 99214. Doing level 4 evaluation and management (E/M) work but coding it as a level 3 office visit is a common mistake that can cost a family physician thousands of dollars each year. NECK: Benign. This can save valuable time in patient intake and with screening the patients and monitoring their progression, even in between appointments. May 28, 2015. The level of service for our chronic stable problem would increase from 99212 to 99213, and our acute uncomplicated problem decreases from level four to level three. One unstable chronic illness (for coding purposes unstable includes hypertension in patients whose blood pressure is not at goal or diabetes in patients whose A1C is not at goal). (Note: these changes apply only to regular office visits and not to nursing home or hospital E/M visits.). Total time includes all time the physician or other qualified health professional (QHP) spends on that patient on the day of the encounter. ECT is used primarily for the treatment of depression that does not respond to medication. Denny has interviewed hundreds of mental health practitioners to better understand their struggles and solutions, all with the goal of making the professional side of behavioral health a little easier, faster, and less expensive. I cannot capture in words the value to me of TheraThink. Two out of three criteria meet the requirements for a level 4, so code it as a level 4. This content is owned by the AAFP. It is appropriate to use an E/M code in the hospital where floor time is expressed in coordination of care with the time documented. Laboratory: strep screen negative, strep culture pending. k4--Nib)Xv`wp{,-%bC=?C[CLSWp,Mj~K l8 ';KgP\&3p}=|{dliV~emwav$..PD8~UQi#u;y4p4-J^gSyABU1f'Y$/;wPe9;xRbfX9j)E>+'|Qv_q[hhti,&7gfibZrK c7_=eYIo_HOBBHEM^4PC(}a/##'7ke yb[.]kpA2KOz8n2B] This guide will also help you find out which codes to pick. PERRLA. CPT Code 99214 can only be used for an established patient's office visit, and it is a level four code. 2023 Carlat Publishing, LLC and Affiliates, All Rights Reserved. No new stressors. You can call, text, or email us about any claim, anytime, and hear back that day. Our data is encrypted and backed up to HIPAA compliant standards. That is in the range of a level 3 visit, not a level 4. I've been in practice since 2019. Additionally, dont forget to check out our Psychiatry Billing Code Cheat Sheet! %%EOF My cost is a percentage of what is insurance-approved and its my favorite bill to pay each month! Note: We only work with licensed mental health providers. Guidance, clinical pearls, and bottom-line assessments covering the medications you use in your the APA website for coding and reimbursement, Procedure Coding Handbook for Psychiatrists, 4th Edition, Treating Alcohol Use DisorderA Fact Book (2023). Also, what do you do with people who are, say, six minutes late to their appointment? endstream endobj 210 0 obj <>stream I probably wouldn't feel comfortable consistently coding 99214+90833 for a 20 min visit, but 30 minute visits? This is a good way to start a note because the reader knows right at . They can be used to increase the complexity of visits and thereby qualify for billing with a higher code (e.g. The overall level of the visit is determined by the highest levels met in at least two of those three elements. Medicare will not reimburse for this service because it is not done face-to-face with the patient, and clinicians should verify coverage by other insurers to ensure reimbursement. Medical decision making is still made up of three elements: problems, data, and risk. Other activities include coordination of services with agencies, employers, or institutions. Many medical professionals can bill with CPT Codes 99213 and 96214. In order to bill 99214, you need 2/3 of either a detailed history, detailed exam, or moderate complexity MDM. When the psychiatrist also administers the anesthesia for ECT, the anesthesia service should be reported separately, using an anesthesia code. There must be two out of three factors included for proper billing of Code 99214. This guide will teach you the most common psychiatry CPT codes, psychiatry addon codes, psychiatry evaluation and management codes, and how to bill psychiatry CPT codes. Healthcare providers will be able to provide a higher level of care for their patients by discovering mental health issues. This Example Psychiatric Note 99214 , as one of the most functional sellers here will extremely be among the best options to review. The code includes the time the physician takes to monitor the patient during the convulsive phase and during the recovery phase. 6RL\/\aUK\ Reimbursement for 99214 is more than 99212 or 99213. Check BP 3 times a wk, avoid salt, continue to limit alcohol to 2 drinks a day or less. n (e.g. Yes: prescription drug management. His home blood pressures have been averaging 155/95. Coding should be easier with the removal of the history and exam components, allowing us to focus more on treating our patients. I realize it varies geographically, but is there a significant difference between the two situations you listed above? Coding is complicated and boring, I often hear physicians say. These descriptions are directly copied from the American Psychiatric Associations coding pamphlet. Pt able to walk now with mild limp. There are no new diagnosis or medications prescribed. Was level 4 data ordered/reviewed? Its important to keep this in mind when working on your mental health insurance credentialing applications. -O^eT!3n_D&` (f}&X4YsXTr531)A/:+/,_@Bx endstream endobj startxref EYES: Fundi benign. Handout given. However, here's the breakdown for coding the visit based on MDM: Was there a level 4 problem? 90837 - Psychotherapy, 60 minutes ( 53 minutes and over). Elements of Medical Decision Making with Psychiatric Specific Examples Number and Complexity of Problems Amount and/or Complexity of Data to be Reviewed and Analyzed Risk of Complications and/or The rest involve supportive psychotherapy. Tightly clustered appointments leave very little room for error or miscalculation. None of this site may be reproduced without written permission. If I am meaningfully addressing two chronic and stable disorders that the patient legitimately can be diagnosed with, and I am making decisions about pharmacotherapy/monitoring adverse effects/discussing alternatives, I do not see how you cannot meet the MDM criteria for 99214 with the current guidelines as written. Will call if strep culture is positive. Review of prior external note(s) from each unique source*; Review of the result(s) of each unique test*; Independent interpretation of a test performed by another physician/other qualified health care professional (not separately reported); Drug therapy requiring intensive monitoring for toxicity, Decision regarding elective major surgery with identified patient or procedure risk factors, Decision regarding emergency major surgery, Decision not to resuscitate or to de-escalate care because of poor prognosis. 90792 Psychiatric Diagnostic Eval 99204 Level 4 New Patient Office Visit (Typical time 45 minutes) 99205 Level 5 New Patient Office Visit (Typical time 60 minutes) Follow-up Psychiatry appointments. Any y'all still getting those letters from a certain 3rd party company the insurance companies have outsourced to for review billing numbers? Explained that we ask this question because guns in the home increase the risk of suicide, homicide and accidental death, Provided education about the importance of keeping guns locked and separated from ammunition. 99204 45-59 minutes 99214 30-39 minutes 99205 60-74 minutes 99215 40-54 minutes A new prolonged service code (99417) was created for use when . Starting on January 1st, 2021 , providers may select the level of office and outpatient Evaluation and Management (E /M) services based on either Time or Medical Decision Making . Going forward, the username you use to log into the system will always be the same as your primary email address on file. Able to keep food down. EXAMPLES ONLY: Prescription drug management Decision regarding minor surgery with identified patient or procedure risk . Unlisted Psychiatric Service or Procedure. New prolonged service codes capture additional time spent with patients The 2021 E/M coding changes should help ensure you're not leaving money on the table, especially when it comes to coding level 4 visits, which is not as straightforward as coding other levels. 224 0 obj <>stream Therapeutic Repetitive Transcranial Magnetic Stimulation (TMS) initial treatment, including cortical mapping, motor threshold determination, delivery and management, Subsequent TMS Delivery and Management, per session, Subsequent TMS Motor Threshold Re-Determination with Delivery and Management, Electroconvulsive Therapy (Includes Necessary Monitoring); Single seizure. Mentegram has a library full of online tools, such as the PHQ-9, that range from detailed surveys to simple sliding scales. Explanation: The total time for this visit was 25 minutes (in the range of a level 3 visit), so it can't be coded as a level 4 using total time. TMs: Benign. Healthcare providers will be able to provide a higher level of care for their patients by discovering mental health issues. Nicotine use disorder, MDD, GAD, bam. One x-ray or electrocardiogram (ECG) interpreted by you. Other CPT code severity requirements are listed below: Wondering if theres an easier way to navigate billing codes? 6+ Psychiatric Progress Note Examples 1. This will help you keep track of time while you're reviewing the chart before the visit, performing the exam (if you always open the chart at the beginning of the visit and close it at the end of the encounter), and making notes after the visit. First, a chief complaint must be included in each note. Thanks for the responses so far. endstream endobj 641 0 obj <>stream Has 2 day hx of L lateral ankle pain. You want to know you can call your billing admin, a real person you've already spoken with, and get immediate answers about your claims. This is actually the simplest part of billing with CPT Code 99214. E/M Coding and Documentation Education. It's our goal to ensure you simply don't have to spend unncessary time on your billing. Group 1 Codes. Psychiatrists are often called upon to prepare reports about the patient for many participants in the healthcare system. 60. Technology: Making Todays Therapy Way More Engaging. Standardized assessment tools for depression (e.g. While these two codes are within the same family, they do have different regulations for reimbursement. The revised MDM guidelines are outlined in the Medical Decision Making table of the Quick Guide to 2021 Office/Outpatient E/M Services (99202-99215) Coding Changes which includes psychiatric specific examples as illustrations. JFIF Adobe d # $&& $ %4/ $('++9+'()02520)7;;;;7;;;;;;;;;;;;;;; $2(! Generally, these billing codes are differentiated by amount of time spent with the patient and severity of the presenting problem. "#$%&'()*3456789:CDEFGHIJSTUVWXYZbcdefghijrstuvwxyz ? The bar is low. Here is a short list of the most common CPT Code modifiers that would be used while rending psychiatric services. They are distinct from biofeedback codes 90901 and 90911, which do not incorporate psychotherapy and do not require face-to-face time. We understand that it's important to actually be able to speak to someone about your billing. A total of three points, earned as follows: a) One point for each unique test ordered or reviewed (panels count as one point each; you cannot count labs you order and perform in-office yourself), b) One point for reviewing note(s) from each external source, and c) One point for using an independent historian. There must be two out of three of the following components: Any mix of these three components will enable a provider to bill with CPT Code 99213. This code is for electroconvulsive therapy (ECT), which involves the application of electric current to the patients brain for the purposes of producing a seizure or series of seizures to alleviate mental symptoms. Environmental Intervention for Medical Management Purposes on a Psychiatric Patients Behalf With Agencies, Employers, or Institutions. You must have JavaScript enabled to enjoy a limited number of articles over the next 30 days. For patients who are chronically stable, just want refills in 10 minutes, and don't want supportive therapy, it seems like a waste of time to reserve them a full 20 or 30 minute slot. The total time needed for a level 4 visit with a new patient (CPT 99204) is 45-59 minutes.. Review of prior external note(s) from each unique source*, Review of the result(s) of each unique test*, 1 or more chronic illnesses with exacerbation, progression, or side effects of treatment, 1 undiagnosed new problem with uncertain prognosis, Assessment requiring independent historian(s), Independent interpretation of a test performed by another physician/other qualified health care professional (not separately reported), Discussion of management or test interpretation with external physician/other qualified health care professional/appropriate source (not separately reported), Decision regarding minor surgery with identified patient or procedure risk factors, Decision regarding elective major surgery without identified patient or procedure risk factors, Diagnosis or treatment significantly limited by social determinants of health, 1 or more chronic illnesses with severe exacerbation, progression, or side effects of treatment, 1 acute or chronic illness or injury that poses a threat to life or bodily function. to investigate the possibility of mental illness as a possible attributing factor to a health problem. is it possible to bill 99214+ 90833 for a 20 minute visit, or is that likely cheating? https://www.aafp.org/fpm/2003/1000/p31.html#:~:text=CPT%20defines%20a%2099214%20or,of%20the%20level%20of%20service. Both the history and physical are required. This being said, providers must be sure that the treatment being offered accurately represents the services required for billing with such a code. Therefore, it is no surprise that CPT Code 99214 is used the most frequently for this form of visit. Assessment/Plan: Essential hypertension I10. A level 99214 visit history also requires 1 of 3 elements for PFSH that is pertinent to the presenting problem. For ease of billing how do you document your assessment and plan section typically? If you experience any issues or have forgotten your Username, contact apa@psych.org or call APA . I mean I try to incorporate "supportive psychotherapy" into med check visits, so technically I could make the argument I provided 16 min of psychotherapy. a psychologist or a psychiatrist) is required. 0 Some doctors choose to report a level 3 instead of a level 4 because of fear of over-coding.1 Some do level 4 work but their documentation is lacking and doesn't support a level 4 code. Psychotherapy Psychiatric Therapeutic Procedures (CPT Codes 90832-90838, 90845-90853, 90865): A. It's our goal to ensure you simply don't have to spend unncessary time on your billing. We established a mental health billing service at TheraThink to help you stay away from all this jargon so you can focus on what you do best. It might also be used for procedures that require some degree of explanation or justification. Understanding the conditions that must be present for billing with CPT Code 99213 is pretty straightforward. There are so many different therapy modalities out thereI think we're just shooting ourselves in the foot if we try and overanalyze whether or not something is "actually therapy" and undercode as a result. Make sure to review our list of the most common insurance billing procedure codes for psych services: Here is a downloadable Psychiatry CPT Code Cheat Sheet PDF: If you need help choose the right CPT code to use for your insurance claims, we help translate billing into English with our mental health billing service. The good news is that the new system values psychiatric services at a higher level, and reimbursements per visit have increased substantially, by 20% or more. Let us handle handle your insurance billing so you can focus on your practice. CV: RRR You may want to include a short definition of total time so that patients who read their notes don't confuse it with face-to-face time and think, My doctor only spent 20 minutes with me, not the 40 minutes listed here. For example, your documentation could say, Total time: 40 minutes. Pt looks ill but not toxic. 0% 99213 for follow ups. The E/M code goes first with no modifier, then the appropriate add-on psychotherapy code 90833, 90836, or 90838. whenever the therapy is done by the same provider who performed the E/M service.

Commercial Grease Trap Installation Cost, Homes For Sale Orangeburg, Sc, Articles OTHER