st2205

Attending
10+ Year Member
Oct 29, 2006
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Attending Physician
I had heard that if you bill a 90833 on top of E&M that the patient will have two copays. I guess this would make sense considering it's technically a separate service, but I had never heard this before. Is this accurate or dependent on insurance company or is this perhaps just a regional thing? If so, how are you handling that with patients?
 

splik

Professional Cat at Large
7+ Year Member
Nov 30, 2009
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no I don't see how they can do that. it's the same visit you can only have one copay.
 

daru1

10+ Year Member
Nov 15, 2006
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Attending Physician
I may be naive in this because of not accepting a lot of different insurances, but isn't 90833 a 'plus' code? It seem that you can't bill 90833 without an E/M, which means technically it's only one visit anyway. If it were two separate visits like a E/M and a separate 90837, I could see the rationale for 2 separate copays, but good luck getting past Stark if you get sued...