Thoughts on 99205 + 90833? A few practices I've talked to seem to utilize this for new 60 min intakes but my understanding is you would need to bill 99205 based on MDM. Looking at the definition of high complexity via AACAP, "1 or more chronic illnesses with severe exacerbation, progression or side effects from treatment" OR "1 acute or chronic illness that poses a threat to life/bodily function"
How are people defining the above...or I guess more importantly, how are insurance companies defining the above?
In theory I could see how a new intake for depression, for example, could be defined as an acute/chronic illness that poses a threat to life depending on symptoms (i.e. SI as the most obvious, but also amotivation/sleep disturbances/etc that if untreated would post a threat to function). I could also see anxiety, ADHD, etc falling into this category. It seems like it depends on how 'threat to function' is defined.
Thoughts?