Billing Codes

Billing Codes
Does anyone know what billing code needs to be used for sessions that exceed one hour?  Have EMDR client that sessions have run 3 hours.  Insurance pays for only one hour, even when I bill for 3 one hour units, stating that this requires a different code (3 hours, not EMDR).

Although they require a different code they state they are not able to discuss codes with me and suggested that I ask colleagues.

Has anyone run into this type situation and if so any advice? Any advice will be greatly appreciated!

Thank you!  ~  Jan Mann  
Be the first person to recommend this.

Permalink

Copy and paste the link below into other web pages, documents, or email messages to allow immediate, permanent access to this page. Security settings will remain in place and login will be necessary for protected content.

Related Resources

No Related Resource entered.

Comments

 
Elizabeth C.A. Lahren September 07, 2014 1:58 am
Hi Jan,
I looked into that also. I found that insurance will only pay for one hour UNLESS it was due to an emergency, for example, IN the emergency room, trauma patient, ect.. Since you're spending 3 hours with the client in your office, the rest of the clinical hours must be paid for by the client.