Hypnotherapy 90880

[Sushirolls]

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Any experience in billing 90880 with insurance, or are people using traditional therapy add on codes instead?
Some insurance put it in experimental non-reimbursed category, others don't. But would like to hear if others have successfully billed it and had it reimbursed.

 

[splik]

why would you bill it? I use a lot of hypnosis, I use standard E&M + add on codes. the hypnotherapy code assumes you only spend 30 mins with the patient which is unlikely. You could techically do E&M and hypnotherapy with modifier 25 but why complicate things. You seem too focused on using esoteric codes rather than using the regular codes to maximize your reimbursements.

 

[Sushirolls]

Fealty to precise coding prevents insurance fraud, I wouldn't call that esoteric. The other thread on 96127 is optimization to not leave funds on the table which an insurance company owes.

I'm not familiar with there being a time attribute with hypnotherapy in any of my investigations.

 

[clausewitz2]

Fealty to precise coding prevents insurance fraud, I wouldn't call that esoteric. The other thread on 96127 is optimization to not leave funds on the table which an insurance company owes.

I'm not familiar with there being a time attribute with hypnotherapy in any of my investigations.

I kind of feel given the frankly talmudic dissection of aliquots of time involved in the medical billing system these codes can be very appropriately classified as "esoterica."

 

[tellme_areyoufree]

I kind of feel given the frankly talmudic dissection

Now I'm imagining two old Jewish psychiatrists arguing "But Hillel says he that increases coding increases wisdom, and he that increases reimbursement increases life!"

 

[clausewitz2]

Now I'm imagining two old Jewish psychiatrists arguing "But Hillel says he that increases coding increases wisdom, and he that increases reimbursement increases life!"

I was going to make a joke about requiring two separate EMRs for Medicare and Medicaid and having to chart six hours apart but I realized that given the rules about billing two different services in the same location in the same day and treating the same person as one or two separate entities depending on whether there are separate practice addresses makes this barely a joke.

We can safely conclude that Maimonides was wrong and CMS requirements are definitely chukim.

 

[tellme_areyoufree]

I was going to make a joke about requiring two separate EMRs for Medicare and Medicaid and having to chart six hours apart but I realized that given the rules about billing two different services in the same location in the same day and treating the same person as one or two separate entities depending on whether there are separate practice addresses makes this barely a joke.

We can safely conclude that Maimonides was wrong and CMS requirements are definitely chukim.

And here I was thinking of the division between progress notes and process notes as our version of not boiling a kid in it's mother's milk.