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Insurance, billing, and
coding
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How do I bill health insurance companies when
I administer the QPD Panel? |
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There are two alternatives. The provider can bill
for QPD Panel administrations using CPT code 96103 (one
unit) for “computerized psychological testing.” We currently
recommend billing $30 per test administration under this
code.
The second alternative is for physicians
who use Evaluation and Management (E/M) codes. The
review of psychological systems and the inclusion of
psychological data in making a differential diagnosis
justify the use of a higher level E/M code. The
computer-generated QPD Panel report in the patient chart
serves to document the additional data reviewed and
level of services provided.
If you have
difficulty getting reimbursed using one approach, you
may want to try the other. Note that insurance companies
differ in the level of documentation they may require to
support a claim. If you use E/M codes, it is good policy
to document that the psychological findings have been
reviewed with the patient, and used for purposes of
differential diagnosis (e.g., is loss of appetite a
symptom of depression, or is it necessary to order an
extensive GI workup?). |
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What diagnosis code should I use if the
depression or anxiety score is out of range, but the
patient doesn’t meet DSM-IV criteria for a specific
disorder? |
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| It is common for patients to suffer from a mood
or anxiety disorder that does not exactly fit the strict
diagnostic criteria specified by DSM-IV. DSM-IV
accommodates this by including the diagnostic categories
of Mood Disorder NOS (Not Otherwise Specified; 296.90)
and Anxiety Disorder NOS (300.00). These diagnostic
categories can be used any time the depression or
anxiety scores falls outside the normal reference
range. |
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igital Diagnostics inc |
address: 11102 Cooper Drive, Littleton, CO 80127 | phone: 800.559.9885 | email: getinfo
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