FQHC billing question: billing a physician and a psychiatrist on the same day?
I have a question, can you bill for a visit to a family practice physician and a psychiatrist on the same day?
For UGS/NGS Medicare on a UB-04 claim the psych visit uses a 900 series revenue code with the appropriate behavioral health HCPCS (e.g., CPT code 90406) while the family practice doctor uses revenue code 521 with the appropriate medical service HCPCS (e.g., CPT code 99212). Full encounter rate payment is eligible less variable co-payments; i.e., the behavioral health component is near 50% while the medical is the standard 20% of charges.
Medicaid is similar to Medicare in this scenario, in nearly all states, except no co-payment. Commercial payers would also allow both to be paid due to two distinct provider specialties based on national board certification.